Basic Information
| Provider Information | |||||||||
| NPI: | 1558525279 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORRIS | ||||||||
| FirstName: | SHKRUMIA | ||||||||
| MiddleName: | MILEE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 39 KANE AVE | ||||||||
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| City: | HEMPSTEAD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115507028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9173554354 | ||||||||
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| Practice Location | |||||||||
| Address1: | 17900 LINDEN BLVD | ||||||||
| Address2: | |||||||||
| City: | JAMAICA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114250001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185261000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2008 | ||||||||
| LastUpdateDate: | 09/02/2008 | ||||||||
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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 | 226300000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Kinesiotherapist |
No ID Information.