Provider Demographics
NPI:1134740012
Name:ALPER, ZAHAVA RANDI (DPT)
Entity type:Individual
Prefix:
First Name:ZAHAVA
Middle Name:RANDI
Last Name:ALPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 N BROADWAY STE 100
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1076
Mailing Address - Country:US
Mailing Address - Phone:914-366-3719
Mailing Address - Fax:
Practice Address - Street 1:755 N BROADWAY STE 100
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1076
Practice Address - Country:US
Practice Address - Phone:914-366-3719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist