MR. June Lazaro Mariscotes

NPI #1053750943 in Mastic Beach, New York

Provider Information

NPI Number: 1053750943
Entity Type: Individual
Name: MR. June Lazaro Mariscotes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 24, 2013
Last Updated: Jun 24, 2013

Practice Location

Address: 24 ROBINWOOD DR
City: Mastic Beach
State: New York
ZIP Code: 11951-3206
Phone: (615) 638-5226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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