Provider Demographics
NPI:1194983353
Name:LOZARES, NOEL ASPURIA (PT,DPT,OCS,SCS, COMT)
Entity type:Individual
Prefix:DR
First Name:NOEL
Middle Name:ASPURIA
Last Name:LOZARES
Suffix:
Gender:M
Credentials:PT,DPT,OCS,SCS, COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 JAY ST
Mailing Address - Street 2:STE 417
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-8361
Mailing Address - Country:US
Mailing Address - Phone:212-961-6686
Mailing Address - Fax:
Practice Address - Street 1:68 JAY ST
Practice Address - Street 2:STE 417
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-8361
Practice Address - Country:US
Practice Address - Phone:212-961-6686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031324225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic