National Provider Identifier
Jonathan Cordero
Jonathan Cordero is listed in the NPPES registry with a primary specialty of Physical Therapy Clinic/Center in Tonawanda, NY and a listed phone number of (716) 908-7907.
Profile Overview
- NPI
- 1306376991
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Clinic/Center
- Enumeration Date
- June 15, 2017
- Last Updated
- December 23, 2024
Practice Location
- 22 Moon Walk
- Tonawanda, NY 14150-2786
Phone: (716) 908-7907
Mailing Address
- 105 Cherrywood Dr
- Williamsville, NY 14221-1660
Specialties
- Physical Therapy Clinic/Center (261QP2000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1306376991
- Entity Type
- Individual
- Last Name
- Cordero
- First Name
- Jonathan
- Mailing Street Address
- 105 Cherrywood Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-1660
- Mailing Country
- US
- Practice Street Address
- 22 Moon Walk
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-2786
- Practice Country
- US
- Practice Phone
- (716) 908-7907
- Enumeration Date
- June 15, 2017
- Last Updated
- December 23, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 23, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Clinic/Center (261QP2000X), Physical Therapist (225100000X)