Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 027772 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | 027772 | NY |
NPI | 1013226638 |
---|---|
Provider Name | Mrs. Beata Paterno |
First Address | Rye Brook, NY 10573-1069 |
Second Address | Rye Brook, NY 10573-1069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2010 |
Last Update Date | 30/09/2010 |