Individual
TAMMY LYNN ZERELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 WANTAGH AVE STE 209, WANTAGH, NY 11793-2210
(516) 809-7610
Mailing address
1400 WANTAGH AVE STE 209, WANTAGH, NY 11793-2210
(516) 809-7610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028104-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028104-1
MASSAGE
NY
Enumeration date
01/06/2018
Last updated
01/06/2018
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