Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 015923 | NY |
NPI | 1063787455 |
---|---|
Provider Name | Mr. Francis Joseph Cardamone |
First Address | Staten Island, NY 10302-1602 |
Second Address | Staten Island, NY 10304-2601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2012 |
Last Update Date | 19/03/2012 |