Doctor Name: | ALLISON BIONDOLILLO |
NPI Number: | 1053777227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 040148 |
Business Practice Address: | 3767 Delaware Ave Kenmore, NY - 142171040 |
Business Phone Number: | 7168746175 |
Business Fax Number: | |
Mailing Address: | 149 Argonne Dr, KENMORE |
State: | NY |
Postal Code: | 142172431 |
Phone Number: | 7164323856 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2016 |
NPI Last Update Date: | 05/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 040148 |
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: |