Liesly Guimaray Altamirano
Individual provider Active NPI Physical Therapist · Corona, NY
NPI 1972998656 · NPPES record last updated Jun 17, 2021
Key facts
- NPI
- 1972998656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 034565 (NY)
- Practice address
- 3717 111TH St Apt 2E
Corona, NY 11368-3816 - Phone
- (917) 434-6357
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161115001263 | NY | Practitioner - Physical Therapist in Private Practice | 3476832460 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esd PT OT & SLP PLLC | Physical Therapist | Current |
Accepting new patients |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Current |
Accepting new patients | |
| Core Physical Therapy Services PC | Physical Therapist | Current |
Accepting new patients |
Locations
180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023
108 S Franklin Ave
Ste 10
Valley Stream, NY 11580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034565 | NY | Yes |
Addresses
Primary practice location
3717 111TH St Apt 2E
Corona, NY 11368-3816
Mailing address
3213 Hamilton Way
New Windsor, NY 12553-4957
Phone (917) 434-6357
Other names
- Ms. Liesly Relano Guimaray
Other providers in Corona, NY
- Tayyaba Ali
- All in One Medical Care PC
- Limor Allaeb
- Luis Almonte
- Alondra Altamirano
- Verny Bryan Alvarado-Galgano
- Ivannia Nastashia Alvarez-Barto
- Kristina Aminova
- Mohammad Aminullah
- Lissette Andramuno
All providers in Corona, 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 Jun 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.