Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 018358-1 | NY |
N | 225100000X | Physical Therapist | PT17656 | FL |
N | 2251H1200X | Hand | 018358-1 | NY |
N | 2251H1200X | Hand | PT17656 | FL |
NPI | 1295843191 |
---|---|
Provider Name | Mr. Mario L Ferraro |
First Address | Brooklyn, NY 11238 |
Second Address | Brooklyn, NY 11238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 17/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02547919 | (05) | NY |
1819961 | UNITED HEALTH CARE (01) | NY |
5090497 | CIGNA (01) | NY |
7108146 | AETNA (01) | NY |