Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1598818007 |
---|---|
Provider Name | Angela Dungee-Farley |
First Address | St. Albans, NY 11425-0001 |
Second Address | St. Albans, NY 11425-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 24/03/2010 |