Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 017111 | NY |
NPI | 1043465875 |
---|---|
Provider Name | Katherine Irene Leinart |
First Address | Nyack, NY 10960-4512 |
Second Address | Yonkers, NY 10701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2008 |
Last Update Date | 25/07/2018 |