Provider Demographics
NPI:1295273316
Name:MINSKY, HANNA (BS PT)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:MINSKY
Suffix:
Gender:F
Credentials:BS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:633 EAST NY AVE
Mailing Address - Street 2:2LF
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-493-4372
Mailing Address - Fax:
Practice Address - Street 1:633 E NEW YORK AVE
Practice Address - Street 2:2LF
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1171
Practice Address - Country:US
Practice Address - Phone:718-493-4372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0238322251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics