Provider Demographics
NPI:1336458272
Name:CAROLINO-DUMBRIGUE, MARICEL P (DPT)
Entity Type:Individual
Prefix:
First Name:MARICEL
Middle Name:P
Last Name:CAROLINO-DUMBRIGUE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1599 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6759
Mailing Address - Country:US
Mailing Address - Phone:718-676-1743
Mailing Address - Fax:718-676-1746
Practice Address - Street 1:1599 E 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6759
Practice Address - Country:US
Practice Address - Phone:718-676-1743
Practice Address - Fax:718-676-1746
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist