Doctor Name: | DR. SIMONE E EUDOVIC |
NPI Number: | 1447432877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P. T. |
License Number: | 025616 |
Business Practice Address: | 623 Warburton Ave Hastings On Hudson, NY - 107061523 |
Business Phone Number: | 9143611818 |
Business Fax Number: | |
Mailing Address: | 623 Warburton Ave, HASTINGS ON HUDSON |
State: | NY |
Postal Code: | 107061523 |
Phone Number: | 9143611818 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 03/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 025616 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |