Provider Demographics
NPI:1891728325
Name:VALDERRAMA, PIEDAD (PT)
Entity Type:Individual
Prefix:MRS
First Name:PIEDAD
Middle Name:
Last Name:VALDERRAMA
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 1:39 WHITMAN RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1713
Mailing Address - Country:US
Mailing Address - Phone:914-439-3221
Mailing Address - Fax:914-337-1059
Practice Address - Street 1:39 WHITMAN RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1713
Practice Address - Country:US
Practice Address - Phone:914-439-3221
Practice Address - Fax:914-337-1059
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0234501225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist