Doctor Name: | MRS. ALISON YAHN NORTHORN |
NPI Number: | 1043357411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 22298 |
Business Practice Address: | 67 Highland Ave West Islip, NY - 117953221 |
Business Phone Number: | 6316690155 |
Business Fax Number: | |
Mailing Address: | 67 Highland Ave, WEST ISLIP |
State: | NY |
Postal Code: | 117953221 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 22298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |