Individual
GAETANO PITTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LMT
Contact information
Practice address
15 ECHO AVE, MOUNT SINAI, NY 11766-2000
(631) 476-4855
Mailing address
110 TUDOR LN, MIDDLE ISLAND, NY 11953-1362
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007415
NY
225700000X
Massage Therapist
022230
NY
Other
Enumeration date
10/28/2016
Last updated
06/17/2024
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