Individual
LISA B GUMNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
320 E 65TH ST, SUITE 117, NEW YORK, NY 10065-6743
(212) 249-2588
Mailing address
160 E 88TH ST, 5J, NEW YORK, NY 10128-2233
(732) 580-9652
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
029367-1
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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