June Lazaro Mariscotes

NPI 1053750943 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1053750943
Gender Male
Enumeration Date 06/24/2013
Last Updated 06/24/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
24 ROBINWOOD DR
MASTIC BEACH NY, 11951-3206, US
Phone (615) 638-5226
Fax
Business Location
24 ROBINWOOD DR
MASTIC BEACH NY, 11951-3206, US
Phone (615) 638-5226
Fax
Toxanomy
Taxonomy Code 225200000X
License State New York
License Number 004226
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According to our database, Mr. June Lazaro Mariscotes NPI is 1053750943, taxonomy code is 225200000X and license number is 004226, license state is located at New York. June Lazaro Mariscotes physically located at 24 Robinwood Dr, Mastic Beach NY, 11951-3206. NPI Number June Lazaro Mariscotes has the Individual type.

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1053750943 NPI number is provided on an as is basis without warranty of any kind. 1053750943 is maintained by the National Plan & Provider Enumeration System. The contents of June Lazaro Mariscotes are for informational purposes only.