Provider Demographics
NPI:1033431325
Name:ZAYAS, DINDO KRISTOFFER (PT)
Entity Type:Individual
Prefix:
First Name:DINDO
Middle Name:KRISTOFFER
Last Name:ZAYAS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 CORLEAR AVE
Mailing Address - Street 2:APT.7
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2364
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4419 3RD AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2501
Practice Address - Country:US
Practice Address - Phone:646-393-5473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-27
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026184225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist