Provider Demographics
NPI:1508019183
Name:BRIONES, JOSEPH MARIE RUIZ (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH MARIE
Middle Name:RUIZ
Last Name:BRIONES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:RUIZ
Other - Last Name:BRIONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:21 NEWKIRK RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-3517
Mailing Address - Country:US
Mailing Address - Phone:914-337-9144
Mailing Address - Fax:914-337-9144
Practice Address - Street 1:21 NEWKIRK RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-3517
Practice Address - Country:US
Practice Address - Phone:914-337-9144
Practice Address - Fax:914-337-9144
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012483-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist