Provider Demographics
NPI:1386303543
Name:UY, JUMARIE ANDIONE CAAYON (PT)
Entity type:Individual
Prefix:
First Name:JUMARIE ANDIONE
Middle Name:CAAYON
Last Name:UY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4846 47TH ST APT 4E
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-7267
Mailing Address - Country:US
Mailing Address - Phone:929-282-9566
Mailing Address - Fax:
Practice Address - Street 1:4846 47TH ST APT 4E
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-7267
Practice Address - Country:US
Practice Address - Phone:929-282-9566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist