Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics |
NPI | 1255663647 |
---|---|
Provider Name | Miss Carine Dure |
First Address | Baldwin, NY 11510-5035 |
Second Address | Great Neck, NY 11021-5502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2010 |
Last Update Date | 10/02/2010 |