Individual
MRS. LISA ANN CARACCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
48 HILLSIDE RD, FARMINGVILLE, NY 11738-1602
(631) 793-6767
Mailing address
48 HILLSIDE RD, FARMINGVILLE, NY 11738-1602
(631) 793-6767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006666-1
NY
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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