Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 023632 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01370800 | NJ |
NPI | 1083746598 |
---|---|
Provider Name | Dr. Alina Hedaya |
First Address | Union, NJ 07083-6023 |
Second Address | Union, NJ 07083-6023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023632 | LICENSE NUMBER (01) | NY |
40QA01370800 | LICENSE NUMBER (01) | NJ |