Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 040148 | NY |
NPI | 1053777227 |
---|---|
Provider Name | Allison Biondolillo |
First Address | Buffalo, NY 14267-0002 |
Second Address | West Seneca, NY 14224-1400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2016 |
Last Update Date | 14/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05028900 | (05) | NY |