De Vera, Maricel

De Vera, Maricel is an individual health care provider with primary practice located at 1979 Marcus Ave Suite 204, Lake Success NY 11042-1002. 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. De Vera, Maricel can be contacted via phone (516) 327-4681.

Contact Information

Primary practice address
1979 Marcus Ave Suite 204 Lake Success NY 11042-1002
Phone: (516) 327-4681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023495 New York

Profile Details

NPI number 1598703001
LBN Legal business name De Vera, Maricel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1598703001 NPPES
New York Other 023495 PT LICENSE

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