Individual
CARMELA CANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 OLD NECK RD S, CENTER MORICHES, NY 11934-3114
(631) 682-0814
Mailing address
57 OLD NECK RD S, CENTER MORICHES, NY 11934-3114
(631) 682-0814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019451
NY
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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