| Doctor Name: | MRS. MARY SANGUEDOLCE |
| NPI Number: | 1316084635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 015027 |
| Business Practice Address: | 168 Cherry Ln Carle Place, NY - 115141741 |
| Business Phone Number: | 5166226402 |
| Business Fax Number: | |
| Mailing Address: | 63 Titus Ave, CARLE PLACE |
| State: | NY |
| Postal Code: | 115141312 |
| Phone Number: | 5163342041 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 015027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |