Provider Demographics
NPI:1790374163
Name:APOSTADERO, FLORENTINO III
Entity type:Individual
Prefix:MR
First Name:FLORENTINO
Middle Name:
Last Name:APOSTADERO
Suffix:III
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:FLORENTIN
Other - Middle Name:PALINO
Other - Last Name:APOSTADERO
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:336 MANNING AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-4305
Mailing Address - Country:US
Mailing Address - Phone:646-675-0180
Mailing Address - Fax:
Practice Address - Street 1:336 MANNING AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-4305
Practice Address - Country:US
Practice Address - Phone:646-675-0180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TA09188200224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant