Provider Demographics
NPI:1457085367
Name:DUMANCAS, MARY KATHERINE BINUEZA (PT)
Entity Type:Individual
Prefix:
First Name:MARY KATHERINE
Middle Name:BINUEZA
Last Name:DUMANCAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7907 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1142
Mailing Address - Country:US
Mailing Address - Phone:347-494-5684
Mailing Address - Fax:347-494-5641
Practice Address - Street 1:7922 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1801
Practice Address - Country:US
Practice Address - Phone:347-494-5684
Practice Address - Fax:347-494-5641
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY046044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist