Provider Demographics
NPI:1407285505
Name:APARICIO, MA SANDRA PAITAN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:MA SANDRA
Middle Name:PAITAN
Last Name:APARICIO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 5TH AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7953
Mailing Address - Country:US
Mailing Address - Phone:212-686-0587
Mailing Address - Fax:
Practice Address - Street 1:236 5TH AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7953
Practice Address - Country:US
Practice Address - Phone:212-686-0587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036158-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist