Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 22298 | NY |
NPI | 1043357411 |
---|---|
Provider Name | Mrs. Alison Yahn Northorn |
First Address | West Islip, NY 11795-3221 |
Second Address | West Islip, NY 11795-3221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/07/2007 |