Provider Demographics
NPI:1447801295
Name:SADUMIANO, ALMIRA GAYOMALI (PT)
Entity Type:Individual
Prefix:
First Name:ALMIRA
Middle Name:GAYOMALI
Last Name:SADUMIANO
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 1:8425 ELMHURST AVE APT 2W
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3335
Mailing Address - Country:US
Mailing Address - Phone:917-435-6332
Mailing Address - Fax:
Practice Address - Street 1:8425 ELMHURST AVE APT 2W
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3335
Practice Address - Country:US
Practice Address - Phone:917-435-6332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist