Provider Demographics
NPI:1679764831
Name:CABRERA, HONEYLOU (PT)
Entity Type:Individual
Prefix:
First Name:HONEYLOU
Middle Name:
Last Name:CABRERA
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 1:170 W 12TH ST
Mailing Address - Street 2:7TH FLOOR, SPELLMAN BUILDING
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8202
Mailing Address - Country:US
Mailing Address - Phone:212-604-6282
Mailing Address - Fax:212-604-2046
Practice Address - Street 1:170 W 12TH ST
Practice Address - Street 2:LINK 103
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8202
Practice Address - Country:US
Practice Address - Phone:212-604-6783
Practice Address - Fax:212-604-2046
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0269331225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist