MEDICARE: MARLEENE SAEZ P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	003750-1	NY

General Provider Information

NPI Number	:	1346574605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEENE SAEZ P.T.

Provider Business Mailing Address
First Line	:	7520 ASTORIA BLVD
Second Line	:	SUITE 220
City	:	EAST ELMHURST
State	:	NY
Zip	:	11370-1138
Country	:	US
Telephone Number	:	718-888-6920
Fax Number	:

Provider Business Practice Location Address
First Line	:	7520 ASTORIA BLVD
Second Line	:	SUITE 220
City	:	EAST ELMHURST
State	:	NY
Zip	:	11370-1138
Country	:	US
Telephone Number	:	718-888-6920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2009
Last Update Date	:	09/18/2009

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