Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | NY |
NPI | 1043820293 |
---|---|
Provider Name | Adrianne Yurgosky |
First Address | New York, NY 10024-2215 |
Second Address | New York, NY 10025-6117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2020 |
Last Update Date | 03/08/2020 |