Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 037816-1 | NY |
NPI | 1346641933 |
---|---|
Provider Name | Dr. Matthew Harrigan |
First Address | New Hyde Park, NY 11042-1033 |
Second Address | New Hyde Park, NY 11042-1033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2014 |
Last Update Date | 15/09/2014 |