Provider Demographics
NPI:1275857393
Name:SINDO, DANAHLEE-LALAINE DE GARCIA (B S, PT)
Entity Type:Individual
Prefix:
First Name:DANAHLEE-LALAINE
Middle Name:DE GARCIA
Last Name:SINDO
Suffix:
Gender:F
Credentials:B S, PT
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Other - Credentials:
Mailing Address - Street 1:15348 78TH RD
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3542
Mailing Address - Country:US
Mailing Address - Phone:718-969-7078
Mailing Address - Fax:
Practice Address - Street 1:15348 78TH RD
Practice Address - Street 2:APARTMENT B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3542
Practice Address - Country:US
Practice Address - Phone:718-969-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY017439-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1275857393Medicare NSC