Individual
CARMENCHU CONSTANTINO NIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
166 E MADISON AVENUE, DUMONT, NJ 07628-2536
(201) 384-6621
(201) 244-5685
Mailing address
166 E MADISON AVENUE, DUMONT, NJ 07628-2536
(201) 384-6621
(201) 244-5685
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
020926
NY
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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