Doctor Name: | MS. MAUREEN MALLARI PERIDO |
NPI Number: | 1982911152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 62-022253 |
Business Practice Address: | 7148 260th St 1st Fl. Glen Oaks, NY - 110041151 |
Business Phone Number: | 9173300785 |
Business Fax Number: | |
Mailing Address: | 7148 260th St, 1st Fl. GLEN OAKS |
State: | NY |
Postal Code: | 110041151 |
Phone Number: | 9173300785 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 09/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 62-022253 |
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 |