Provider Demographics
NPI:1992936801
Name:REMIGIO, BENILDA RAMIREZ (PT)
Entity type:Individual
Prefix:MRS
First Name:BENILDA
Middle Name:RAMIREZ
Last Name:REMIGIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BENILDA
Other - Middle Name:ERPELO
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:210 BIG SPRING RD
Mailing Address - Street 2:
Mailing Address - City:NEWVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17241-9497
Mailing Address - Country:US
Mailing Address - Phone:718-663-9055
Mailing Address - Fax:
Practice Address - Street 1:400 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4004
Practice Address - Country:US
Practice Address - Phone:718-663-9055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029430225100000X
NY030831225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist