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NPI Code Detail

MEDICARE: MARIE ANTONETTE NANQUIL

MEDICARE:   MARIE ANTONETTE  NANQUIL
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
1225100000XPhysical Therapist053689NY

General Provider Information

NPI Number : 1770309478
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE ANTONETTE NANQUIL
Provider Business Mailing Address
First Line : 8746 20TH AVE # L
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4802
Country : US
Telephone Number : 718-648-0888
Fax Number :
Provider Business Practice Location Address
First Line : 798 SOUTHERN BLVD
Second Line :
City : BRONX
State : NY
Zip : 10455-2115
Country : US
Telephone Number : 718-648-0888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 11/26/2024

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Directions to “ MARIE ANTONETTE NANQUIL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.