Provider Demographics
NPI:1972643583
Name:D'ONOFRIO, JEAN ALICE (PT, PLLC)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:ALICE
Last Name:D'ONOFRIO
Suffix:
Gender:F
Credentials:PT, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CHELSEA DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2705
Mailing Address - Country:US
Mailing Address - Phone:631-928-7894
Mailing Address - Fax:
Practice Address - Street 1:39 CHELSEA DR
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2705
Practice Address - Country:US
Practice Address - Phone:631-928-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004438-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics