Provider Demographics
NPI:1548914054
Name:YUNGA CARPIO, DAISY (DPT)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:YUNGA CARPIO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 TAXTER RD
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-2336
Mailing Address - Country:US
Mailing Address - Phone:914-597-3870
Mailing Address - Fax:914-597-3876
Practice Address - Street 1:555 TAXTER RD
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-2336
Practice Address - Country:US
Practice Address - Phone:914-597-3870
Practice Address - Fax:914-597-3870
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048322-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist