Individual
ANA ZIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2780 MIDDLE COUNTRY RD, SUITE 140, LAKE GROVE, NY 11755-2124
(631) 580-1000
(631) 580-0483
Mailing address
2780 MIDDLE COUNTRY RD, SUITE 140, LAKE GROVE, NY 11755-2124
(631) 580-1000
(631) 580-0483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019521
LICENSE
NY
Enumeration date
05/24/2006
Last updated
07/08/2007
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