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NPI Code Detail

MEDICARE: PAULEEN ROSE JURILLA BALBUENA

MEDICARE: PAULEEN ROSE JURILLA BALBUENA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist049713NY

General Provider Information

NPI Number : 1164370466
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULEEN ROSE JURILLA BALBUENA
Provider Business Mailing Address
First Line : 4150 78TH ST APT 327
Second Line :
City : ELMHURST
State : NY
Zip : 11373-1972
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 E 56TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3758
Country : US
Telephone Number : 917-525-5310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ PAULEEN ROSE JURILLA BALBUENA ” Practice Location

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