Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 030473 | NY |
NPI | 1003138553 |
---|---|
Provider Name | Harilal G Nair Syamalakumari |
First Address | Glen Oaks, NY 11004-1107 |
Second Address | Long Island City, NY 11106-2561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2010 |
Last Update Date | 25/02/2010 |