Individual
MRS. MARY MEWBORN-BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17900 LINDEN BLVD, JAMAICA, NY 11425-0001
(718) 526-1000
(718) 298-8531
Mailing address
11456 212TH ST, CAMBRIA HEIGHTS, NY 11411-1018
(718) 526-1000
(718) 298-8531
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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