Provider Demographics
NPI:1336360437
Name:HUJSAK, MARIA CHARISMA GARCIA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARIA CHARISMA
Middle Name:GARCIA
Last Name:HUJSAK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3190 RIVERDALE AVE APT 3A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3857
Mailing Address - Country:US
Mailing Address - Phone:347-427-6676
Mailing Address - Fax:347-427-6676
Practice Address - Street 1:3190 RIVERDALE AVE APT 3A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3857
Practice Address - Country:US
Practice Address - Phone:347-427-6676
Practice Address - Fax:347-427-6676
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33530225100000X
NJ40QA01203700225100000X
NY26722225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist