Provider Demographics
NPI:1720037831
Name:ZAIFF, CANDACE ELLEN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:ELLEN
Last Name:ZAIFF
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:121 WELLINGTON CT
Mailing Address - Street 2:APARTMENT 3A
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5965
Mailing Address - Country:US
Mailing Address - Phone:917-912-2783
Mailing Address - Fax:
Practice Address - Street 1:9525 QUEENS BLVD
Practice Address - Street 2:4TH FLOOR
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4511
Practice Address - Country:US
Practice Address - Phone:718-459-4754
Practice Address - Fax:718-459-4939
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY017480-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist