NPI 1003419896

Thara Kristelle Enerio, PT

Practitioner Physical Medicine & Rehabilitation Physician Glen Oaks, NY

Practice location

Address: 26717 Hillside Ave, Glen Oaks, NY 11004-1743
Phone: (718) 343-2121
Mailing address: 3433 62nd St, Woodside, NY 11377-2147

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 043504-1 (NY)

Other Physical Medicine & Rehabilitation providers in New York →

Registry record

NPI: 1003419896
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2020
Record last updated: 16 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.