Individual
MRS. LYNNE MACALUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
27 ACKLEY AVE, MALVERNE, NY 11565-1920
(516) 887-2822
Mailing address
27 ACKLEY AVE, MALVERNE, NY 11565-1920
(516) 887-2822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003356
NY
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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