MRS. MARTHA OLGA LONDONO


Address: 8829 74th Ave, Glendale, NY 11385-7923
Phone: 9172046018

MRS. MARTHA OLGA LONDONO (NPI# 1518116672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518116672
Entity Type Individual
Full Name MRS. MARTHA OLGA LONDONO
Credential PT
Practice Address 8829 74th Ave
Glendale
NY 11385-7923
Practice Telephone 9172046018
Practice Fax Number 7189979018
Mailing Telephone 9172046018
Mailing Fax Number 7189979018
Enumeration Date 2008-09-14
Last Update Date 2008-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
019116-1 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 8829 74TH AVE
City GLENDALE
State NY
Zip Code 11385-7923

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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Providers in the same taxonomy and state

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Competitor

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City GLENDALE
Zip Code 11385

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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