Individual
MS. JUDITH THERESA AVITABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
2750 LAFAYETTE AVE, BRONX, NY 10465-2210
(718) 823-5684
Mailing address
1345 KEARNEY AVE, BRONX, NY 10465-1318
(917) 209-0586
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
620086521
NY
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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