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

Mrs. Mary Elaine Gines Carbonell, PT

Individual provider Physical Therapist · NPI 1104150341

Mrs. Mary Elaine Gines Carbonell, PT is a Physical Therapist in Newark, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

848 Peirson Ave
Newark, NY 14513-9762
Phone: (315) 879-2500
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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 030046 (NY)

Record details

NPI number1104150341
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 21, 2009
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

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