Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 06894 | NY |
N | 2251C2600X | Cardiopulmonary | 06894 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 06894 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 06894 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 06894 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 06894 | NY |
NPI | 1417906116 |
---|---|
Provider Name | Saundra J Perry |
First Address | Southold, NY 11971-4750 |
Second Address | Southold, NY 11971-4750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A2527929 | ORTHONET (01) | NY |
AZ00670 | MDNY (01) | NY |