Individual
MRS. ELIZABETH ANN CITENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 FERN PL, PLAINVIEW, NY 11803-4725
(516) 933-4700
Mailing address
40 ELM ST, SAYVILLE, NY 11782-2907
(631) 563-8469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000205-1
NY
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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