Individual
MS. KRISTINA L BOCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
604 ASHAROKEN BLVD, BAY SHORE, NY 11706-6302
(631) 560-3978
Mailing address
604 ASHAROKEN BLVD, BAY SHORE, NY 11706-6302
(631) 560-3978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029961
NY
374J00000X
Doula
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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