Provider Demographics
NPI:1053595082
Name:DOLERA, JOSEPHINE SALIGO (PT)
Entity type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:SALIGO
Last Name:DOLERA
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 1:50 EAST HARTSDALE AVENUE
Mailing Address - Street 2:APARTMENT 3G
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530
Mailing Address - Country:US
Mailing Address - Phone:914-433-4388
Mailing Address - Fax:
Practice Address - Street 1:50 EAST HARTSDALE AVENUE
Practice Address - Street 2:APARTMENT 3G
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530
Practice Address - Country:US
Practice Address - Phone:914-433-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014978-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist