MEDICARE: MS. MARIE ALLGIER

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	225200000X	Physical Therapy Assistant	000120-1	NY

General Provider Information

NPI Number	:	1013053594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE ALLGIER

Provider Business Mailing Address
First Line	:	2445 UNION BLVD
Second Line	:	APT. 7B
City	:	ISLIP
State	:	NY
Zip	:	11751-3113
Country	:	US
Telephone Number	:	631-224-3564
Fax Number	:

Provider Business Practice Location Address
First Line	:	2445 UNION BLVD
Second Line	:	APT. 7B
City	:	ISLIP
State	:	NY
Zip	:	11751-3113
Country	:	US
Telephone Number	:	631-224-3564
Fax Number	:

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/08/2007

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