Individual
MR. SAM MICHAEL MARIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3203 20TH RD, ASTORIA, NY 11105-2020
(516) 398-0884
Mailing address
3203 20TH RD, ASTORIA, NY 11105-2020
(516) 398-0884
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
014443-1
NY
Other
Enumeration date
09/16/2011
Last updated
09/24/2013
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