Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 010563-1 | NY |
NPI | 1043456247 |
---|---|
Provider Name | Mrs. Linda Ann Dolansky |
First Address | Monroe, NY 10950-5012 |
Second Address | Monroe, NY 10950-5012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2008 |
Last Update Date | 18/12/2008 |