Individual
MS. SOCORRO B VANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 POST AVE, SUITE 100, WESTBURY, NY 11590-2265
(516) 333-3253
(516) 333-8452
Mailing address
355 POST AVE, SUITE 100, WESTBURY, NY 11590-2265
(516) 333-3253
(516) 333-8452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005863-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005863-1
PTA LICENSE
NY
Enumeration date
03/02/2007
Last updated
07/08/2007
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