Provider Demographics
NPI:1336514298
Name:ZIEDENWEBER, SHEILA HELENE (PT, MA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:HELENE
Last Name:ZIEDENWEBER
Suffix:
Gender:F
Credentials:PT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 INDIAN RD APT 5E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1018
Mailing Address - Country:US
Mailing Address - Phone:917-501-6692
Mailing Address - Fax:212-927-5136
Practice Address - Street 1:25 INDIAN RD APT 5E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1018
Practice Address - Country:US
Practice Address - Phone:917-501-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009044-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY009044-1OtherLICENSE