Doctor Name: | MAGVIROSE BALISI |
NPI Number: | 1053731364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 62-031896 |
Business Practice Address: | 16 Gardenia Ln Hicksville, NY - 118012009 |
Business Phone Number: | 9173863434 |
Business Fax Number: | 8664474544 |
Mailing Address: | 555 Washington Ave, Apt. 3b BROOKLYN |
State: | NY |
Postal Code: | 112382740 |
Phone Number: | 9175153325 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2014 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 62-031896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |