Individual
MR. CALVIN H CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
535 SECATOGUE AVE, FARMINGDALE, NY 11735-4335
(516) 603-5807
Mailing address
535 SECATOGUE AVE, FARMINGDALE, NY 11735-4335
(516) 603-5807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027107
NY
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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