Healthcare Provider Details
I. General information
NPI: 1508082454
Provider Name (Legal Business Name): KHRISTINA FERIL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/18/2007
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
88 GREENWAY WEST MANHASSET HILLS
NEW HYDE PARK NY
11040-2225
US
IV. Provider business mailing address
88 GREENWAY W MANHASSET HILLS
NEW HYDE PARK NY
11040-2225
US
V. Phone/Fax
- Phone: 516-280-2923
- Fax:
- Phone: 516-280-2923
- Fax: 516-280-2923
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: