Diana Kudelko
Physical Therapist - Pediatrics
3437 Weidner Ave
Oceanside
, New York 11572-3536
Diana Kudelko
Physical Therapist - Pediatrics
3437 Weidner Ave
Oceanside
, New York 11572-3536
(347) 422-4867
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Diana Kudelko
- 3437 Weidner Ave
- Oceanside, NY
- Zip : 11572-3536
- Phone : (347) 422-4867
Second Address
- Diana Kudelko
- 3437 Weidner Ave
- Oceanside, NY
- Zip : 11572-3536
- Phone : (347) 422-4867
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Is Diana Kudelko a sole practitioner?
Is Diana Kudelko accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 039160-1 | NY |
National Provider Identifier
| NPI | 1114475050 |
|---|---|
| Provider Name | Diana Kudelko |
| First Address | Oceanside, NY 11572-3536 |
| Second Address | Oceanside, NY 11572-3536 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2016 |
| Last Update Date | 21/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.