Provider Demographics
NPI:1225893209
Name:TIONGSON, RIAMAR (PT)
Entity Type:Individual
Prefix:
First Name:RIAMAR
Middle Name:
Last Name:TIONGSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RIAMAR
Other - Middle Name:
Other - Last Name:MADRID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:516-492-5708
Mailing Address - Fax:631-467-0928
Practice Address - Street 1:1 EMMA LN
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3763
Practice Address - Country:US
Practice Address - Phone:518-280-5868
Practice Address - Fax:631-467-0928
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist