Provider Demographics
NPI:1093990491
Name:ALBERTO, MA SOLEDAD FIGUEROA (DPT)
Entity Type:Individual
Prefix:
First Name:MA SOLEDAD
Middle Name:FIGUEROA
Last Name:ALBERTO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9118 VANDERVEER ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1242
Mailing Address - Country:US
Mailing Address - Phone:516-721-7504
Mailing Address - Fax:
Practice Address - Street 1:9118 VANDERVEER ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1242
Practice Address - Country:US
Practice Address - Phone:516-721-7504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2013-01-18
Deactivation Date:2008-11-04
Deactivation Code:
Reactivation Date:2009-07-02
Provider Licenses
StateLicense IDTaxonomies
NY029256225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY029256OtherLICENSE