Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 5786 | NY |
NPI | 1053580522 |
---|---|
Provider Name | Ms. Luanne Sforza |
First Address | Katonah, NY 10536-0404 |
Second Address | New York, NY 10003-3209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 13/11/2010 |