Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 012558-01 | NY |
NPI | 1073659843 |
---|---|
Provider Name | Karen N. Scheck |
First Address | Sayville, NY 11782-2413 |
Second Address | Sayville, NY 11782-2413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |