Individual
ROBERT SCALCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8 TECHNOLOGY DR, SUITE 104, EAST SETAUKET, NY 11733-3327
(631) 689-5916
Mailing address
PO BOX 645, MILLER PLACE, NY 11764-0645
(631) 375-0617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023739-1
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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