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Individual

MS. CANICE PALIOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3731 STATE HIGHWAY 12, OXFORD, NY 13830-3304
(607) 843-9337
Mailing address
3731 STATE HIGHWAY 12, OXFORD, NY 13830-3304
(607) 843-9337

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005150-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005150-1
MASSAGE THERAPIST LICENSE
NY
01
ZFM 1418P8933
MEDICARE BLUE PPO
NY
Enumeration date
10/05/2010
Last updated
10/07/2010
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