Provider Demographics
NPI:1487807681
Name:DUNGCA, ALBERT VILLARAMA (OTR/L)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:VILLARAMA
Last Name:DUNGCA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4558 161ST ST # 1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3156
Mailing Address - Country:US
Mailing Address - Phone:718-661-1414
Mailing Address - Fax:718-661-1419
Practice Address - Street 1:4558 161ST ST # 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3156
Practice Address - Country:US
Practice Address - Phone:718-661-1414
Practice Address - Fax:718-661-1419
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009272-1225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics