Individual
MRS. MARY SANGUEDOLCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
168 CHERRY LN, CARLE PLACE, NY 11514-1741
(516) 622-6402
Mailing address
63 TITUS AVE, CARLE PLACE, NY 11514-1312
(516) 334-2041
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
015027
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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