Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 038936 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 038936 | NY |
NPI | 1710527742 |
---|---|
Provider Name | Nicholas Maroldi |
First Address | New York, NY 10021-4823 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2020 |
Last Update Date | 09/04/2021 |