Provider Demographics
NPI:1841403938
Name:CUEVAS, EMMYLOU BRIONES (PT)
Entity Type:Individual
Prefix:MRS
First Name:EMMYLOU
Middle Name:BRIONES
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:2128 HAIGHT AVENUE
Mailing Address - Street 2:APT. 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:646-267-7598
Mailing Address - Fax:718-944-6266
Practice Address - Street 1:150-12
Practice Address - Street 2:14TH AVENUE
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:718-746-8757
Practice Address - Fax:718-746-3069
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY025549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist