Individual
MS. DAISY BANLOTA CODENIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
22 SHERWOOD AVE, B, YONKERS, NY 10704-2506
(914) 237-3642
Mailing address
22 SHERWOOD AVE, B, YONKERS, NY 10704-2506
(914) 237-3642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16813-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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