Individual
HERMINIA GOYENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4161 KISSENA BLVD, SUITE 35, FLUSHING, NY 11355-3181
(917) 285-2248
Mailing address
4161 KISSENA BLVD, SUITE 35, FLUSHING, NY 11355-3181
(917) 285-2248
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008061
NY
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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