Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 009539-1 | NY |
NPI | 1063678373 |
---|---|
Provider Name | Virginia Luanne Torncello |
First Address | Cohoes, NY 12047-4967 |
Second Address | Cohoes, NY 12047-4967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 06/08/2008 |