Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 045003-01 | NY |
NPI | 1063021335 |
---|---|
Provider Name | Margaret E O'neil |
First Address | New York, NY 10032-3925 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2020 |
Last Update Date | 23/07/2020 |