Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 014685-1 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics |
NPI | 1073740700 |
---|---|
Provider Name | Mrs. Shiphra Schorr |
First Address | Brooklyn, NY 11210-5430 |
Second Address | Brooklyn, NY 11210-5430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2009 |
Last Update Date | 21/06/2009 |