Mary Sanguedolce, MPT
Physical Therapist, Pediatrics in Carle Place, NY. Individual provider (NPI-1).
NPI number1316084635
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1316084635
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Sanguedolce
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 015027 | NY | Yes |
Practice location
168 Cherry LnCarle Place, NY 11514-1741
Phone 516-622-6402
Mailing address
63 Titus AveCarle Place, NY 11514-1312
Phone 516-334-2041
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