Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 021697 | NY |
N | 2251S0007X | Physical Therapist - Sports | 021697 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 021697 | NY |
NPI | 1477608966 |
---|---|
Provider Name | Ms. Tina M Sferra |
First Address | Somers, NY 10589-0179 |
Second Address | Mount Kisco, NY 10549-2973 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 20/06/2017 |