MEDICARE: MELISSA MARASIGAN ALOVERA

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	024113	NY

General Provider Information

NPI Number	:	1396382990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARASIGAN ALOVERA

Provider Business Mailing Address
First Line	:	2503 5TH ST
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-3222
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	552 E 180TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-3304
Country	:	US
Telephone Number	:	347-590-7040
Fax Number	:

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

Provider Enumeration Date	:	12/03/2019
Last Update Date	:	12/03/2019

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Directions to “ MELISSA MARASIGAN ALOVERA ” Practice Location

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