Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 041050-1 | NY |
NPI | 1043766157 |
---|---|
Provider Name | Andrea Kalliope Strassman |
First Address | East Northport, NY 11731 |
Second Address | Garden City, NY 11530-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2016 |
Last Update Date | 08/09/2020 |