Individual
DOLORES BREGAS SERPICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 599-3999
Mailing address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 599-3999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007587-1
NY
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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