Individual
MS. BIANCA M MALANGONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ECHO AVE, MOUNT SINAI, NY 11766-2000
(631) 476-4855
Mailing address
167 S EVERGREEN DR, SELDEN, NY 11784-3041
(631) 513-9559
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025865
NY
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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