Provider Demographics
NPI:1326264375
Name:GOKA, DELALI ABLA (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:DELALI
Middle Name:ABLA
Last Name:GOKA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LANDMARK SQ
Mailing Address - Street 2:#410
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-3348
Mailing Address - Country:US
Mailing Address - Phone:914-939-0050
Mailing Address - Fax:
Practice Address - Street 1:333 MAMARONECK AVE
Practice Address - Street 2:#331
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1440
Practice Address - Country:US
Practice Address - Phone:914-458-2249
Practice Address - Fax:914-885-1072
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist