Basic Information
| Provider Information | |||||||||
| NPI: | 1124189360 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REMORCA | ||||||||
| FirstName: | ORLAN | ||||||||
| MiddleName: | SAPINOSO | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8 HEWITT AVE | ||||||||
| Address2: | |||||||||
| City: | STATEN ISLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 103014614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182854135 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4715 AVENUE D | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112035817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184512787 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 022993 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.