National Provider Identifier

Erson Paul Religioso III, DPT

Erson Paul Religioso III, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lake View, NY and a listed phone number of (716) 980-5686.

NPI 1881628709Lake View, NYPhysical Therapist

Profile Overview

NPI
1881628709
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 10, 2006
Last Updated
January 11, 2017

Practice Location

  • 6029 Pinehurst Ct
  • Lake View, NY 14085-9203

Phone: (716) 980-5686

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1881628709
Entity Type
Individual
Last Name
Religioso
First Name
Erson
Middle Name
Paul
Name Prefix
Dr.
Name Suffix
III
Credential
DPT
Mailing Street Address
6029 Pinehurst Ct
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9203
Mailing Country
US
Mailing Phone
(716) 980-5686
Practice Street Address
6029 Pinehurst Ct
Practice City
Lake View
Practice State
NY
Practice ZIP Code
14085-9203
Practice Country
US
Practice Phone
(716) 980-5686
Enumeration Date
July 10, 2006
Last Updated
January 11, 2017
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
02071718 (NY), 837712 (NY, Managed Physical Network), 9310992 (NY, Iha), 00011174501 (NY, Univera), 000626077001 (NY, Bc/Bs), 6699290 (NY, Ghi)