Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 023051-1 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 023051-1 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 023051-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 023051-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1285822262 |
---|---|
Provider Name | Agnieszka Gabriela Pindral |
First Address | Warwick, NY 10990-1407 |
Second Address | Warwick, NY 10990-1455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2007 |
Last Update Date | 11/06/2019 |