Individual
AVIVA D PANETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
1039 ROSE ST, FAR ROCKAWAY, NY 11691-4744
(718) 337-3282
Mailing address
1039 ROSE ST, FAR ROCKAWAY, NY 11691-4744
(718) 337-3282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020963-1
NY
Other
Enumeration date
06/09/2006
Last updated
01/28/2009
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