Sherwin Danao

Individual provider Active NPI Physical Therapist · Bardonia, NY

NPI 1992944052 · NPPES record last updated Feb 13, 2009

Key facts

NPI
1992944052
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
022679 (NY)
Practice address
54 Ash Rd
Bardonia, NY 10954-2120
Phone
(845) 215-9085
Fax
(845) 215-9085
NPI assigned
Feb 13, 2009
Sex
Male
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

LicenseStateTypeSpecialty
022679NYMDPsychologist

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 022679 NY Yes

Addresses

Primary practice location

54 Ash Rd
Bardonia, NY 10954-2120

Mailing address

54 Ash Rd
Bardonia, NY 10954-2120
Phone (845) 215-9085

Other providers in Bardonia, NY

All providers in Bardonia, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.