Provider Demographics
NPI:1962434787
Name:ALONGI, MARYANNE (DPM)
Entity type:Individual
Prefix:DR
First Name:MARYANNE
Middle Name:
Last Name:ALONGI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 7TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5723
Mailing Address - Country:US
Mailing Address - Phone:516-248-9680
Mailing Address - Fax:516-248-9683
Practice Address - Street 1:226 7TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5723
Practice Address - Country:US
Practice Address - Phone:516-248-9680
Practice Address - Fax:516-248-9683
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003529-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery