Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 025826 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | 025826 | NY |
NPI | 1124272455 |
---|---|
Provider Name | Dr. Anna Y Len |
First Address | Brooklyn, NY 11229-5030 |
Second Address | Brooklyn, NY 11209-7005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2008 |
Last Update Date | 13/11/2008 |