Individual
GINA PUGLISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
920 MAIN ST, NIAGARA FALLS, NY 14301-1110
(716) 940-0411
Mailing address
PO BOX 373, NIAGARA FALLS, NY 14302-0373
(716) 940-0411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021551-1
NY
Other
Enumeration date
04/18/2008
Last updated
02/17/2010
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