Individual
VANESSA PACELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 SILLS RD, YAPHANK, NY 11980
(631) 924-5583
Mailing address
19 ROY AVE, MASSAPEQUA, NY 11758-6755
(203) 305-0377
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001831
CT
225XP0200X
Pediatric Occupational Therapist
Primary
010968
NY
Other
Enumeration date
06/26/2018
Last updated
04/29/2026
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