Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Leopoldo Junior Goncero Haboc, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1336921022

Leopoldo Junior Goncero Haboc, PHYSICALTHERAPIST is registered under Physical Therapist in Private Practice in Howard Beach, New York. Qualified in 2012, 14 years ago. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

15606 78th St Apt 2
Howard Beach, NY 11414-2527
Phone: (929) 601-6277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032611 (NY)

Record details

NPI number1336921022
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateNovember 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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