Whalio Doctors

NPI 1194393322

Iosif Kimatov

Practitioner Physical Therapy Assistant Astoria, NY

Practice location

Address
30-63 38 St, Astoria, NY 11103
Phone
(718) 932-1269
Mailing address
3063 38th St, Astoria, NY 11103-4172

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 01232001 (NY)

Registry record

NPI
1194393322
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2021
Record last updated
14 Jun 2021

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.