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Individual

ALEJANDRO T MARIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
65 COLUMBUS AVE, STATEN ISLAND, NY 10304-4325
(718) 448-3210
(718) 816-7417
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0103951
NY
2251N0400X
Neurology Physical Therapist
0103951
NY
2251X0800X
Orthopedic Physical Therapist
0103951
NY

Other

Enumeration date
11/04/2005
Last updated
01/25/2019
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