Individual
DARCEL COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
491 BROADWAY, AMITYVILLE, NY 11701-2120
(631) 716-5618
Mailing address
101 FERRARIS ST, COPIAGUE, NY 11726-1912
(631) 716-5618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029745
NY
Other
Enumeration date
03/12/2018
Last updated
03/17/2018
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