Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 019464-1 | NY |
NPI | 1063656288 |
---|---|
Provider Name | Mrs. Alison Michele Dunn |
First Address | New York, NY 10016-7918 |
Second Address | New York, NY 10016-7918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 01/05/2009 |