Provider Demographics
NPI:1609524958
Name:RELACION, NOREN CLAIRE GETALLA
Entity Type:Individual
Prefix:
First Name:NOREN CLAIRE
Middle Name:GETALLA
Last Name:RELACION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9212 51ST AVE # 2F
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4014
Mailing Address - Country:US
Mailing Address - Phone:347-677-9924
Mailing Address - Fax:
Practice Address - Street 1:153 GREENPOINT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2387
Practice Address - Country:US
Practice Address - Phone:718-383-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045482225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist