Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 025614 | NY |
NPI | 1003074204 |
---|---|
Provider Name | Rachel Friedlander |
First Address | Bronx, NY 10471-3519 |
Second Address | Bronx, NY 10471-3519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2008 |
Last Update Date | 26/05/2008 |