Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 027621 | NY |
NPI | 1386076628 |
---|---|
Provider Name | Mrs. Cynthia Leone |
First Address | Plainview, NY 11803-6203 |
Second Address | East Meadow, NY 11554-4748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2013 |
Last Update Date | 08/08/2013 |