Individual
ANGELIKA MAE FORNAL FAMARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 AVENUE OF THE AMERICAS, 11TH FLOOR, NEW YORK, NY 10105
(212) 981-1977
Mailing address
1345 AVENUE OF THE AMERICAS FL 11, NEW YORK, NY 10105-0013
(212) 981-1977
(646) 786-4026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048262
NY
225200000X
Physical Therapy Assistant
013075
NY
Other
Enumeration date
11/16/2021
Last updated
03/07/2022
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