Provider Demographics
NPI:1760595185
Name:BARBARETTI, ELIZABETH CHARLONIS (DPT)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CHARLONIS
Last Name:BARBARETTI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:17 WOODLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-1042
Mailing Address - Country:US
Mailing Address - Phone:914-528-9052
Mailing Address - Fax:914-528-5206
Practice Address - Street 1:17 WOODLAND BLVD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-1042
Practice Address - Country:US
Practice Address - Phone:914-528-9052
Practice Address - Fax:914-528-5206
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009370-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics