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

Individual provider Physical Therapy Assistant · NPI 1053750943

Mr. June Lazaro Mariscotes is a Physical Therapy Assistant in Mastic Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

24 Robinwood Dr
Mastic Beach, NY 11951-3206
Phone: (615) 638-5226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 004226 (NY)

Record details

NPI number1053750943
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 24, 2013
Last updated in NPPESJune 24, 2013