Marabella, Samuel L

Marabella, Samuel L is an individual health care provider with primary practice located at 105 Main St , North Tonawanda NY 14120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Marabella, Samuel L can be contacted via phone (716) 692-6388.

Contact Information

Primary practice address
105 Main St North Tonawanda NY 14120
Phone: (716) 692-6388
Fax: (716) 692-1227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002388 New York

Profile Details

NPI number 1225145394
LBN Legal business name Marabella, Samuel L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1225145394 NPPES
Other 00020519201 UNIVERA
Other 000604453001 UNIVERA
MEDICAID 0066615 UNIVERA
Other 9351528 UNIVERA

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