Provider Demographics
NPI:1326220583
Name:UY, ROSARIO L (PT)
Entity Type:Individual
Prefix:
First Name:ROSARIO
Middle Name:L
Last Name:UY
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 1:9118 VANDERVEER ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1242
Mailing Address - Country:US
Mailing Address - Phone:718-760-1921
Mailing Address - Fax:718-760-1921
Practice Address - Street 1:9118 VANDERVEER ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1242
Practice Address - Country:US
Practice Address - Phone:718-760-1921
Practice Address - Fax:718-760-1921
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2013-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029390171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor