Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics |
NPI | 1003322884 |
---|---|
Provider Name | Janine Volpe |
First Address | Malverne, NY 11565-1829 |
Second Address | Flushing, NY 11367-3360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2017 |
Last Update Date | 16/12/2017 |