Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edward Gerard De Pedro Tabuada

Individual provider Physical Therapy Assistant · NPI 1043906696

Mr. Edward Gerard De Pedro Tabuada is a Physical Therapy Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1084 Liberty Ave
Brooklyn, NY 11208-2923
Phone: (347) 586-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 013214-01 (NY)

Record details

NPI number1043906696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 16, 2023

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