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Individual
MS. MARISTELA S. NEVIN
Active
Individual
MS. MARISTELA S. NEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023613-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000028553
AFFINITY
NY
01
—
10067538
CDPHP
NY
01
—
1356066001
CIGNA
NY
01
—
202134565
1199 NATIONAL BENEFIT FUN
NY
01
—
207622
WELLCARE
NY
01
—
58662
GHI (HMO)
NY
01
—
603436
MVP
NY
01
—
6696813
GHI (PPO)
NY
01
—
832412
MANAGED PHYSICAL NETWORK
NY
01
—
90177
LOCAL 825 WELFARE PLAN
NY
01
—
Q18H01
BCBS
NY
Enumeration date
07/09/2006
Last updated
10/30/2007
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