Basic Information
| Provider Information | |||||||||
| NPI: | 1477800613 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADSITT | ||||||||
| FirstName: | ALETHEA | ||||||||
| MiddleName: | NAOMI | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 434 PROSPECT PL # 3R | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112384138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063550841 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 HANSON PL | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112432900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188571900 | ||||||||
| FaxNumber: | 7188571902 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2012 | ||||||||
| LastUpdateDate: | 02/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT60798019 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 0351091 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.