Provider Demographics
NPI:1437906690
Name:ALOVERA, ANGELO GABRIEL TUAZON (DPT)
Entity type:Individual
Prefix:MR
First Name:ANGELO GABRIEL
Middle Name:TUAZON
Last Name:ALOVERA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:124 KINGSBORO AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-2203
Mailing Address - Country:US
Mailing Address - Phone:347-306-6343
Mailing Address - Fax:
Practice Address - Street 1:847 COUNTY HIGHWAY 122
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-6413
Practice Address - Country:US
Practice Address - Phone:518-773-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY045459225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist