Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 010525-1 | NY |
N | 2251S0007X | Physical Therapist - Sports | 010525-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 010525-1 | NY |
NPI | 1215989348 |
---|---|
Provider Name | Mrs. Robina Streja |
First Address | Scarsdale, NY 10583-2706 |
Second Address | Scarsdale, NY 10583-1349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/04/2008 |