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Individual

ANTOINETTA COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1480 BROADWAY AVE, HOLBROOK, NY 11741-5412
(516) 480-0507
(631) 849-5824
Mailing address
58 1ST AVENUE, MEDFORD, NY 11763-3837
(516) 480-0507

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
06/19/2017
Last updated
05/19/2023
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