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Individual

MR. ANTHONY JOHN MARIANOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5111
Mailing address
3524 AVENUE R, BROOKLYN, NY 11234-4416
(718) 998-3036

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007069
NY

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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