Healthcare Provider Details

I. General information

NPI: 1326769787
Provider Name (Legal Business Name): ESCOSIO-PASCUA PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8908 171ST ST
JAMAICA NY
11432-5432
US

IV. Provider business mailing address

8908 171ST ST
JAMAICA NY
11432-5432
US

V. Phone/Fax

Practice location:
  • Phone: 917-791-1800
  • Fax: 917-677-6617
Mailing address:
  • Phone: 917-791-1800
  • Fax: 917-677-6617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JULIE ANN ESCOSIO-PASCUA
Title or Position: OWNER
Credential: DPT
Phone: 917-783-4613