Individual
ABIGAIL MAE PERENA RUIVIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 AVENUE OF THE AMERICAS FL 11, NEW YORK, NY 10105-0013
(212) 981-1997
Mailing address
8840 53RD AVE APT 2, ELMHURST, NY 11373-5276
(347) 400-0437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040996
NY
225200000X
Physical Therapy Assistant
011326
NY
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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