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NPI Code Detail

MEDICARE: MARC ALICEA

MEDICARE: MARC ALICEA
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 Therapist40QA02405300NJ

General Provider Information

NPI Number : 1144177577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC ALICEA
Provider Business Mailing Address
First Line : 576 BROADHOLLOW RD
Second Line :
City : MELVILLE
State : NY
Zip : 11747-5012
Country : US
Telephone Number : 631-359-5859
Fax Number :
Provider Business Practice Location Address
First Line : 105 ELM ST
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-3143
Country : US
Telephone Number : 908-450-5914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ MARC ALICEA ” Practice Location

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