Individual
MS. SHARON L. PETITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., LMT
Contact information
Practice address
1400 WANTAGH AVE, SUITE 202, WANTAGH, NY 11793-2257
(516) 695-1633
Mailing address
17 JEFFERSON AVE, NORTHPORT, NY 11768-3084
(516) 695-1633
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003437
NY
225700000X
Massage Therapist
27022253
NY
Other
Enumeration date
01/21/2007
Last updated
04/16/2015
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