Individual
HIDEKO MARUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 21ST AVE, ASTORIA, NY 11105-3311
(718) 377-5000
(718) 377-5002
Mailing address
2311 21ST AVE, ASTORIA, NY 11105-3311
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013696
NY
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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