Individual
BERNADETTE GOMEZ MANABAT MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
47 CRANFORD CT, STATEN ISLAND, NY 10306-2083
(917) 292-2601
Mailing address
47 CRANFORD CT, STATEN ISLAND, NY 10306-2083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22579
NY
Other
Enumeration date
09/20/2010
Last updated
04/30/2020
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