Individual
CHRISTINE PANETTIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N COUNTRY RD, SAINT JAMES, NY 11780-1761
(631) 897-3687
Mailing address
24 LAKE TER, RONKONKOMA, NY 11779-3324
(631) 897-3687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017876
NY
Other
Enumeration date
08/21/2014
Last updated
12/16/2014
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