National Provider Identifier
Mary Elaine Gines Carbonell, P.T.
Mary Elaine Gines Carbonell, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Newark, NY and a listed phone number of (315) 879-2500.
Profile Overview
- NPI
- 1104150341
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 21, 2009
- Last Updated
- June 22, 2022
Practice Location
- 848 Peirson Ave
- Newark, NY 14513-9762
Phone: (315) 879-2500
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1104150341
- Entity Type
- Individual
- Last Name
- Carbonell
- First Name
- Mary Elaine
- Middle Name
- Gines
- Name Prefix
- Mrs.
- Credential
- P.T.
- Mailing Street Address
- 848 Peirson Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9762
- Mailing Country
- US
- Mailing Phone
- (315) 331-2086
- Practice Street Address
- 848 Peirson Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-9762
- Practice Country
- US
- Practice Phone
- (315) 879-2500
- Enumeration Date
- September 21, 2009
- Last Updated
- June 22, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)