Evangeline Sanvicente-Dorsey, DPT
Individual provider Active NPI Physical Therapist · Montebello, NY
NPI 1366099780 · NPPES record last updated Dec 10, 2019
Key facts
- NPI
- 1366099780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 014488 (NY)
- Practice address
- 28B Indian Rock
Montebello, NY 10901-4907 - Phone
- (845) 368-2180
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014488 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014488 | NY | Yes |
Addresses
Primary practice location
28B Indian Rock
Montebello, NY 10901-4907
Mailing address
28B Indian Rock
Montebello, NY 10901-4907
Other providers in Montebello, NY
- Brad Ratsprecher
- Caitlin Reda
- Renal Care of Rockland, Inc
- Elizabeth Ann Romagnoli
- Joel V. Rosenstein
- Sara Ahuva Schreier
- Serenity Heaven Network LLC
- Prinsiben Shah
- Eliana Suarez
- Tapestry Medicine PLLC
All providers in Montebello, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.