Individual
CLEOFE MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
110 SAINT NICHOLAS AVE, 1R, BROOKLYN, NY 11237-3440
(347) 564-9906
Mailing address
110 ST NICHOLAS AVENUE 1R, BROOKLYN, NY 11237
(347) 564-9906
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019266
NY
Other
Enumeration date
11/20/2014
Last updated
06/23/2016
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