Individual
MRS. ALISSA MAUCERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 599-3999
Mailing address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 599-3999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030984
NY
Other
Enumeration date
01/07/2009
Last updated
10/18/2010
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