Doctor Name: | MS. GLEEN BAUTISTA ANCIRO |
NPI Number: | 1174795314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,DPT |
License Number: | 023716 |
Business Practice Address: | 200-14 44th Avenue Bayside, NY - 11361 |
Business Phone Number: | 7182792900 |
Business Fax Number: | 7182797958 |
Mailing Address: | 138 E Cherry St, FLORAL PARK |
State: | NY |
Postal Code: | 110013646 |
Phone Number: | 9174950831 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2008 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 023716 |
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 |