Provider Demographics
NPI:1235891904
Name:CINCO, LOUISE MURIEL (PT)
Entity Type:Individual
Prefix:
First Name:LOUISE MURIEL
Middle Name:
Last Name:CINCO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 5TH AVE RM 809
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-7809
Mailing Address - Country:US
Mailing Address - Phone:713-291-9459
Mailing Address - Fax:
Practice Address - Street 1:501 5TH AVE RM 809
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-7809
Practice Address - Country:US
Practice Address - Phone:212-499-9110
Practice Address - Fax:212-499-0003
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist