Provider Demographics
NPI:1013229145
Name:ABIERA, CHARMAINE RUBY NADELA (RPT)
Entity Type:Individual
Prefix:
First Name:CHARMAINE RUBY
Middle Name:NADELA
Last Name:ABIERA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ROBINSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3171
Mailing Address - Country:US
Mailing Address - Phone:347-621-4646
Mailing Address - Fax:
Practice Address - Street 1:203 ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3171
Practice Address - Country:US
Practice Address - Phone:347-621-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032016-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist