National Provider Identifier

Marisciel N Puguon

Marisciel N Puguon is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (845) 505-2825.

NPI 1124731211Ithaca, NYPhysical Therapist

Profile Overview

NPI
1124731211
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 04, 2023
Last Updated
January 04, 2023

Practice Location

  • 272 Hayts RD Apt 3
  • Ithaca, NY 14850-9218

Phone: (845) 505-2825

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1124731211
Entity Type
Individual
Last Name
Puguon
First Name
Marisciel
Middle Name
N
Mailing Street Address
272 Hayts RD Apt 3
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9218
Mailing Country
US
Mailing Phone
(607) 272-8282
Practice Street Address
272 Hayts RD Apt 3
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9218
Practice Country
US
Practice Phone
(845) 505-2825
Enumeration Date
January 04, 2023
Last Updated
January 04, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
January 03, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)