Individual
CHERYL DANDRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 EMPIRE AVE, FAR ROCKAWAY, NY 11691-4856
(845) 596-1719
Mailing address
829 EMPIRE AVE, FAR ROCKAWAY, NY 11691-4856
(845) 596-1719
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
043966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043966
PHYSICAL THERAPY
NY
Enumeration date
08/03/2020
Last updated
08/03/2020
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