Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCK MOMBRUN, PTA
Active Sole ProprietorMARCK MOMBRUN, PTA is a Occupational Therapist healthcare provider located in AMITYVILLE, New York. NPI 1134960750 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · AMITYVILLE, NY
Registration Details
- NPI Number
- 1134960750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2024 (2.2322597478511 yrs)
- Last Updated
- Jun 6, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
805 BROADWAYAMITYVILLE, NY, 117012260Browse NY providers · Browse ZIP 11701
- Phone
- 6316088874
- Fax
- 6316088876
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in AMITYVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| SARAH NOELLE PULVIDENTE | BS PTA | 1316730773 |
| MATTHEW CABRERA | — | 1417840448 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.