Provider Demographics
NPI:1629267281
Name:LARINO, EVA (PT)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:LARINO
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 1:300 N MIDDLETOWN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1295
Mailing Address - Country:US
Mailing Address - Phone:845-494-1825
Mailing Address - Fax:845-620-0940
Practice Address - Street 1:300 N MIDDLETOWN RD STE 2
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1295
Practice Address - Country:US
Practice Address - Phone:845-494-1825
Practice Address - Fax:845-620-0940
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030442-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist