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ALICIA VENEZIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6715 102ND ST APT 2H, FOREST HILLS, NY 11375-2407
(646) 756-0646
(718) 896-0974
Mailing address
6715 102ND ST APT 2H, FOREST HILLS, NY 11375-2407
(646) 756-0646
(718) 896-0974

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015794-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015794-1
LICENSE
NY
Enumeration date
04/10/2007
Last updated
07/08/2007
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