Provider Demographics
NPI:1992944052
Name:DANAO, SHERWIN
Entity type:Individual
Prefix:
First Name:SHERWIN
Middle Name:
Last Name:DANAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ASH RD
Mailing Address - Street 2:
Mailing Address - City:BARDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2120
Mailing Address - Country:US
Mailing Address - Phone:845-215-9085
Mailing Address - Fax:845-215-9085
Practice Address - Street 1:54 ASH RD
Practice Address - Street 2:
Practice Address - City:BARDONIA
Practice Address - State:NY
Practice Address - Zip Code:10954-2120
Practice Address - Country:US
Practice Address - Phone:845-215-9085
Practice Address - Fax:845-215-9085
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022679225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist