Individual
MS. CONSOLACION OBEDO ESTRELLA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
787 LYDIG AVE, BRONX, NY 10462-2144
(718) 863-7774
(718) 792-0288
Mailing address
787 LYDIG AVE, BRONX, NY 10462-2144
(718) 863-7774
(718) 792-0288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018236
HIP
NY
01
—
11303
MAGNACARE
NY
01
—
2234571
FIRST HEALTH
NY
01
—
2439101
UNITED HEALTHCARE
NY
01
—
6697223
GHI
NY
01
—
9525118
CIGNA
NY
Enumeration date
07/28/2005
Last updated
07/09/2007
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