Individual
AILEEN CLARISSE PATRIARCA DOGMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 AVENUE OF THE AMERICAS FL 11, NEW YORK, NY 10105-0013
(212) 981-1977
Mailing address
3262 44TH ST, ASTORIA, NY 11103-2322
(929) 638-8429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
045476
NY
225200000X
Physical Therapy Assistant
Primary
012158
NY
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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