Maytal Adi, PT
Physical Therapist in Staten Island, NY. Individual provider (NPI-1).
NPI number1457548331
StatusActive
Last updated in NPPESJun 12, 2014
Details
- NPI
- 1457548331
- Entity type
- Individual (NPI-1)
- Name
- Maytal Adi
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2007
- Last updated
- Jun 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 028173-1 | NY | Yes |
Practice location
91 Washington AveStaten Island, NY 10314-5044
Phone 917-400-8270
Mailing address
91 Washington AveStaten Island, NY 10314-5044
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