Provider Demographics
NPI:1720227226
Name:DE CASTRO, ALBERTO LUNA (PHYSICAL THERAPY)
Entity type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:LUNA
Last Name:DE CASTRO
Suffix:
Gender:M
Credentials:PHYSICAL THERAPY
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Mailing Address - Street 1:PO BOX 746087
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6087
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:
Practice Address - Street 1:4405 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-4014
Practice Address - Country:US
Practice Address - Phone:212-740-2020
Practice Address - Fax:646-666-0280
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-07
Last Update Date:2024-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY031030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist