NPI 1417031956

Diana Sionov, PT

Practitioner Orthotic Fitter Elmhurst, NY

Practice location

Address: 80th St & 41st Ave, Elmhurst, NY 11373-1329
Phone: (718) 334-5970
Fax: (718) 334-5958
Mailing address: 79-01 Broadway Managed Care, D1-01, Elmhurst, NY 11373-1329

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence 019124 (NY)

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Registry record

NPI: 1417031956
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2006
Record last updated: 8 Jul 2007

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.