Basic Information
| Provider Information | |||||||||
| NPI: | 1003140369 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NADEL | ||||||||
| FirstName: | SHARI | ||||||||
| MiddleName: | ILISE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | MPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 437 E 71ST ST | ||||||||
| Address2: | APT. 3FW | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100214841 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9178164403 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 147 W 35TH ST | ||||||||
| Address2: | SUITE 407 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100012110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9175918494 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2009 | ||||||||
| LastUpdateDate: | 09/18/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 029863-1 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.