Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 038910 | NY |
N | 2251H1300X | Human Factors | 038910 | NY |
N | 225XH1300X | Human Factors | 038910 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 038910 | NY |
NPI | 1174978613 |
---|---|
Provider Name | Amor Siozon |
First Address | Brooklyn, NY 11211 |
Second Address | Brooklyn, NY 11211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2016 |
Last Update Date | 03/05/2016 |