Provider Demographics
NPI:1558676155
Name:LAHOZ, CARIDAD R (MPT)
Entity Type:Individual
Prefix:
First Name:CARIDAD
Middle Name:R
Last Name:LAHOZ
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 CALAMUS AVE
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-7626
Mailing Address - Country:US
Mailing Address - Phone:646-331-3152
Mailing Address - Fax:
Practice Address - Street 1:10740 QUEENS BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4200
Practice Address - Country:US
Practice Address - Phone:718-261-3100
Practice Address - Fax:718-261-2915
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010560-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist