Provider Demographics
NPI:1881883841
Name:SAMONTE, MARY CHARMEL MORALES (PT, DPT)
Entity type:Individual
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First Name:MARY CHARMEL
Middle Name:MORALES
Last Name:SAMONTE
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Gender:
Credentials:PT, DPT
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Mailing Address - Street 1:1 RIVER PL
Mailing Address - Street 2:SUITE 1711
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4343
Mailing Address - Country:US
Mailing Address - Phone:212-695-5782
Mailing Address - Fax:888-878-8076
Practice Address - Street 1:856 46TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1656
Practice Address - Country:US
Practice Address - Phone:718-435-7000
Practice Address - Fax:888-878-8076
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2025-03-19
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Provider Licenses
StateLicense IDTaxonomies
NY029130225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY029130OtherLICENSE