Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 018759-1 | NY |
NPI | 1003054164 |
---|---|
Provider Name | Jane Adigue Almero |
First Address | Jamaica, NY 11432-2604 |
Second Address | Jamaica, NY 11432-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2009 |
Last Update Date | 28/01/2009 |