Provider Demographics
NPI:1568212165
Name:BINOYA, SHAWN DAYLE CANA (PT)
Entity Type:Individual
Prefix:
First Name:SHAWN DAYLE
Middle Name:CANA
Last Name:BINOYA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 BARKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1933
Mailing Address - Country:US
Mailing Address - Phone:347-234-1153
Mailing Address - Fax:
Practice Address - Street 1:2816 BARKLEY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1933
Practice Address - Country:US
Practice Address - Phone:347-234-1153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048730-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist