Healthcare Provider Details

I. General information

NPI: 1104744168
Provider Name (Legal Business Name): TANYA HOUNKPEVI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 WOODHULL AVE
BRONX NY
10469-6419
US

IV. Provider business mailing address

4071 BAYCHESTER AVE
BRONX NY
10466-2313
US

V. Phone/Fax

Practice location:
  • Phone: 718-652-3432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: