Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 029851 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 40QA01268700 | NJ |
NPI | 1033426903 |
---|---|
Provider Name | Nadine Gardenswartz |
First Address | Bronx, NY 10457-6216 |
Second Address | Bronx, NY 10457-6216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2010 |
Last Update Date | 13/09/2010 |