Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 026101-1 | NY |
NPI | 1407286495 |
---|---|
Provider Name | Emily Rappaport |
First Address | Bedford, NY 10506-1714 |
Second Address | White Plains, NY 10605-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2013 |
Last Update Date | 12/11/2013 |