MEDICARE: MARICAR LAGROSAS ABERILLA

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	045426	NY

General Provider Information

NPI Number	:	1316663990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARICAR LAGROSAS ABERILLA

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	951-374-7288
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 SMITH ST FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5111
Country	:	US
Telephone Number	:	718-488-0001
Fax Number	:

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

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	11/01/2023

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Directions to “ MARICAR LAGROSAS ABERILLA ” Practice Location

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