Anetrella, Marymiel Joy

Anetrella, Marymiel Joy is an sole proprietor health care provider with primary practice located at 138 Henrietta Ave , Oceanside NY 11572-5226. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Anetrella, Marymiel Joy can be contacted via phone (646) 286-5038.

Contact Information

Primary practice address
138 Henrietta Ave Oceanside NY 11572-5226
Phone: (646) 286-5038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023856 New York

Profile Details

NPI number 1750405205
LBN Legal business name Anetrella, Marymiel Joy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Apr 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750405205 NPPES
New York MEDICAID 02803950

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