Provider Demographics
NPI:1457679912
Name:JUNIO, MARICRIS SANCHO (PT)
Entity Type:Individual
Prefix:MISS
First Name:MARICRIS
Middle Name:SANCHO
Last Name:JUNIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 VAN GUILDER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5406
Mailing Address - Country:US
Mailing Address - Phone:914-712-3144
Mailing Address - Fax:914-712-3155
Practice Address - Street 1:108 VAN GUILDER AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5406
Practice Address - Country:US
Practice Address - Phone:914-712-3144
Practice Address - Fax:914-712-3155
Is Sole Proprietor?:No
Enumeration Date:2010-05-08
Last Update Date:2010-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist