Individual
ARIEL TANIAJURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8914 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11427-2514
(917) 478-5599
Mailing address
8914 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11427-2514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019212-1
NY
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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