Individual
MISS GINA M CALVACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S SERVICE RD, DIX HILLS, NY 11746-6015
(631) 271-0777
Mailing address
600 S SERVICE RD, DIX HILLS, NY 11746-6015
(631) 271-0777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
01/05/2023
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