Doctor Name: | JILL E COCCARO-SANTOS |
NPI Number: | 1124130802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 030070 |
Business Practice Address: | 1978 Crompond Road Mount Kisco Medical Group Pc Cortlandt Manor, NY - 10567 |
Business Phone Number: | 9147392121 |
Business Fax Number: | 9147392185 |
Mailing Address: | 3333 Henry Hudson Pkwy, Apartment 20r BRONX |
State: | NY |
Postal Code: | 104633224 |
Phone Number: | 6463065544 |
Fax Number: | 3479474579 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 030070 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |