Provider Demographics
NPI:1295574127
Name:ASORO, PAUL DOMINIC FERRER (PT)
Entity type:Individual
Prefix:MR
First Name:PAUL DOMINIC
Middle Name:FERRER
Last Name:ASORO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:PAUL DOMINIC
Other - Middle Name:FERRER
Other - Last Name:ASORO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:91-16 97TH STREET
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421
Mailing Address - Country:US
Mailing Address - Phone:917-592-8813
Mailing Address - Fax:
Practice Address - Street 1:91-16 97TH STREET
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421
Practice Address - Country:US
Practice Address - Phone:917-592-8813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist