Natasha Ridore

NPI #1619565587 in Whitestone, New York

Provider Information

NPI Number: 1619565587
Entity Type: Individual
Name: Natasha Ridore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 6, 2021
Last Updated: Jan 6, 2021

Practice Location

Address: 1322 147TH ST APT C3
City: Whitestone
State: New York
ZIP Code: 11357-2402
Phone: (917) 657-6232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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