Provider Demographics
NPI:1285822262
Name:PINDRAL, AGNIESZKA GABRIELA (DPT)
Entity Type:Individual
Prefix:
First Name:AGNIESZKA
Middle Name:GABRIELA
Last Name:PINDRAL
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 1:25 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1407
Mailing Address - Country:US
Mailing Address - Phone:845-986-5555
Mailing Address - Fax:845-986-5999
Practice Address - Street 1:25 ELM ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1455
Practice Address - Country:US
Practice Address - Phone:845-986-5555
Practice Address - Fax:845-986-5999
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023051-12251G0304X, 2251N0400X, 2251P0200X, 225100000X
2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic