Organization
MARYCARE PHYSICAL THERAPY P.C.
Active
Other names
Marycare Physical Therapy P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE VILCHEZ DPT (PHYSICAL THERAPIST)
(929) 478-0660
Entity
Organization
Contact information
Practice address
6527 ROOSEVELT AVE # 2B, WOODSIDE, NY 11377-2927
(718) 255-6887
Mailing address
4312 JUDGE ST APT 1F, ELMHURST, NY 11373-3476
(347) 681-5812
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
030162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942441837
NPI
NY
Enumeration date
06/10/2016
Last updated
03/28/2025
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