Provider Demographics
NPI:1548528532
Name:LAMBROU, BEENA (DPT, PT, CSCS)
Entity type:Individual
Prefix:
First Name:BEENA
Middle Name:
Last Name:LAMBROU
Suffix:
Gender:F
Credentials:DPT, PT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4705 CENTER BLVD-APT 2005
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11109
Mailing Address - Country:US
Mailing Address - Phone:917-622-1675
Mailing Address - Fax:
Practice Address - Street 1:4705 CENTER BLVD-APT 2005
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11109
Practice Address - Country:US
Practice Address - Phone:917-622-1675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist