MEDICARE: PAULINE RINA DENISE NUGUID-MARQUEZ

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
2	225100000X	Physical Therapist	046065	NY

General Provider Information

NPI Number	:	1922658368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINE RINA DENISE NUGUID-MARQUEZ

Provider Business Mailing Address
First Line	:	11 HOLT DR
Second Line	:
City	:	STONY POINT
State	:	NY
Zip	:	10980-1919
Country	:	US
Telephone Number	:	845-942-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 HOLT DR
Second Line	:
City	:	STONY POINT
State	:	NY
Zip	:	10980-1919
Country	:	US
Telephone Number	:	845-942-4355
Fax Number	:

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

Provider Enumeration Date	:	09/18/2019
Last Update Date	:	12/15/2025

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