Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 029863-1 | NY |
NPI | 1003140369 |
---|---|
Provider Name | Miss Shari Ilise Nadel |
First Address | New York, NY 10021-4841 |
Second Address | New York, NY 10001-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2009 |
Last Update Date | 18/09/2009 |