Individual
MS. FE PENTECOSTES MAMARADLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
552 E 240TH ST FL NY2, BRONX, NY 10470-1404
(442) 286-2772
Mailing address
1345 AVENUE OF THE AMERICAS FL 15, NEW YORK, NY 10105-0021
(121) 298-1197
(646) 786-4026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012427-01
NY
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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