Maricel De Vera
NPI #1598703001 in Lake Success, New York
Provider Information
- NPI Number
- 1598703001
- Entity Type
- Individual
- Name
- Maricel De Vera
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1979 MARCUS AVE
- Address 2
- SUITE 204
- City
- Lake Success
- State
- New York
- ZIP Code
- 11042-1002
- Phone
- (516) 327-4681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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