Healthcare Provider Details

I. General information

NPI: 1225951809
Provider Name (Legal Business Name): NINA JOY CATANDUANES ENCONG RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 WESTCHESTER AVE STE 104
BRONX NY
10461-3585
US

IV. Provider business mailing address

8617 58TH AVE
ELMHURST NY
11373-4818
US

V. Phone/Fax

Practice location:
  • Phone: 718-892-2022
  • Fax:
Mailing address:
  • Phone: 929-689-0551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number050645
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: