Provider Demographics
NPI:1922040344
Name:TYBINKOWSKA, IWONA JOLANTA (PT)
Entity Type:Individual
Prefix:
First Name:IWONA
Middle Name:JOLANTA
Last Name:TYBINKOWSKA
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 1:285 N ROUTE 303
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-1425
Mailing Address - Country:US
Mailing Address - Phone:845-268-8998
Mailing Address - Fax:845-268-8999
Practice Address - Street 1:285 N ROUTE 303
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-1413
Practice Address - Country:US
Practice Address - Phone:845-268-8998
Practice Address - Fax:845-268-8999
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist