Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 044232 | NY |
NPI | 1205471729 |
---|---|
Provider Name | David Alfano |
First Address | New York, NY 10011-2427 |
Second Address | New York, NY 10011-2427 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2019 |
Last Update Date | 07/11/2019 |