| Doctor Name: | MRS. SRIPRIYA MADURA PRINCE |
| NPI Number: | 1902155336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 035496 |
| Business Practice Address: | 239 Genesee Street Suite 1 Chittenango, NY - 130371750 |
| Business Phone Number: | 3155103372 |
| Business Fax Number: | 3155103688 |
| Mailing Address: | 239 Genesee Street, Suite 1 CHITTENANGO |
| State: | NY |
| Postal Code: | 130371750 |
| Phone Number: | 3155103372 |
| Fax Number: | 3155103688 |
| NPI Enumeration Date: | 08/30/2012 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 035496 |
| 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 |