Healthcare Provider Details

I. General information

NPI: 1477882124
Provider Name (Legal Business Name): SUNDAY JARANILLA LASMARIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 12/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

V. Phone/Fax

Practice location:
  • Phone: 516-486-6862
  • Fax: 516-572-3170
Mailing address:
  • Phone: 516-486-6862
  • Fax: 516-572-3170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number031803
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: