Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 011415-1 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 011451-1 | NY |
NPI | 1144243288 |
---|---|
Provider Name | Ms. Julie Beth Fineman |
First Address | Nanuet, NY 10954-1021 |
Second Address | Ellenville, NY 12428-1310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02657665 | (05) | NY |