Individual
MATTHEW MARUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, OCS, CSCS
Contact information
Practice address
16 SCHUMAN RD, MILLWOOD, NY 10546-1111
(914) 488-5440
Mailing address
16 SCHUMAN RD, MILLWOOD, NY 10546-1111
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
027064-1
NY
2251X0800X
Orthopedic Physical Therapist
Primary
027064-1
NY
Other
Enumeration date
01/22/2007
Last updated
07/12/2007
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