Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 035685 | NY |
N | 2251N0400X | Physical Therapist - Neurology |
NPI | 1164914875 |
---|---|
Provider Name | Dr. Caroline Frey |
First Address | Forest Hills, NY 11375-3302 |
Second Address | New York, NY 10016-2708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2018 |
Last Update Date | 30/05/2018 |