Provider Demographics
NPI:1386832624
Name:NASTU, GEORGIANA
Entity Type:Individual
Prefix:
First Name:GEORGIANA
Middle Name:
Last Name:NASTU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GEORGIANA
Other - Middle Name:CRISTINA
Other - Last Name:NASTU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, PT
Mailing Address - Street 1:247 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-2841
Mailing Address - Country:US
Mailing Address - Phone:646-270-9484
Mailing Address - Fax:
Practice Address - Street 1:247 ELM ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2841
Practice Address - Country:US
Practice Address - Phone:646-270-9484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2017-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist