Individual
DR. MARIANA WINGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(518) 605-1518
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085
—
NY
Enumeration date
08/16/2012
Last updated
06/16/2023
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