Provider Demographics
NPI:1265609168
Name:ASUELO, VIRGILIO VILLANUEVA JR (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:VIRGILIO
Middle Name:VILLANUEVA
Last Name:ASUELO
Suffix:JR
Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:9019 210TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1018
Mailing Address - Country:US
Mailing Address - Phone:718-740-5432
Mailing Address - Fax:718-740-5432
Practice Address - Street 1:6135 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2739
Practice Address - Country:US
Practice Address - Phone:718-429-6630
Practice Address - Fax:718-429-6584
Is Sole Proprietor?:No
Enumeration Date:2008-05-11
Last Update Date:2008-05-11
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Provider Licenses
StateLicense IDTaxonomies
NY025361225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist