Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 035332-1 | NY |
NPI | 1073991006 |
---|---|
Provider Name | Ms. Anat Kristal |
First Address | Yonkers, NY 10703-1524 |
Second Address | Mount Kisco, NY 10549-3632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 11/05/2015 |