Provider Demographics
NPI:1275756975
Name:OSIS, AIDA ROSAURA (MS,PT)
Entity Type:Individual
Prefix:MS
First Name:AIDA
Middle Name:ROSAURA
Last Name:OSIS
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:MS
Other - First Name:AIDA
Other - Middle Name:ROSAURA
Other - Last Name:OSIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:144 VALENTINE PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-3025
Mailing Address - Country:US
Mailing Address - Phone:732-326-0620
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-1522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist