Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 032497 | NY |
NPI | 1013233915 |
---|---|
Provider Name | Dr. Yulisa Umana-Chan |
First Address | Little Neck, NY 11362-1326 |
Second Address | Little Neck, NY 11362-1326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 16/04/2010 |