Provider Demographics
NPI:1295863447
Name:CORTEZ RONCO, CHRISTINA (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:CORTEZ RONCO
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 1:29110 TOWN GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-1589
Mailing Address - Country:US
Mailing Address - Phone:914-366-3719
Mailing Address - Fax:914-366-1312
Practice Address - Street 1:755 N BROADWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1075
Practice Address - Country:US
Practice Address - Phone:914-366-3719
Practice Address - Fax:914-366-1312
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0276881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q29A71OtherEMPIRE BLUE CROSS