NPI 1003457086

Bryan Joel Villanueva Nitural, DPT

Practitioner Physical Medicine & Rehabilitation Physician New York, NY

Practice location

Address: 820 2nd Ave Rm 6a, New York, NY 10017-4530
Phone: (929) 245-6596
Mailing address: 3975 56th St APT 1j, Woodside, NY 11377-8904

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 038911 (NY)

Other Physical Medicine & Rehabilitation providers in New York →

Registry record

NPI: 1003457086
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2019
Record last updated: 1 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.