Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 022842-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 022842-1 | NY |
N | 226300000X | Kinesiotherapist | 022842-1 | NY |
NPI | 1083869622 |
---|---|
Provider Name | Mr. Henri Valery Daniel |
First Address | Hempstead, NY 11550-7212 |
Second Address | Hempstead, NY 11550-7212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2008 |
Last Update Date | 02/05/2014 |