Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maricel De Vera

Individual provider Physical Therapist · NPI 1598703001

Maricel De Vera is a Physical Therapist in Lake Success, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

1979 Marcus Ave Ste 204
Lake Success, NY 11042-1002
Phone: (516) 327-4681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 023495 (NY)

Record details

NPI number1598703001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESJuly 13, 2026
Mailing address10 E 16th St, Huntington Station, NY 11746-2911

Other providers in Lake Success