Individual
MARY MARGARET SIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1500 ROUTE 112, PORT JEFFERSON STATION, NY 11776-8054
(631) 343-4184
Mailing address
16 WINSTON LN, PORT JEFFERSON STATION, NY 11776-3324
(631) 413-1385
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019457-01
NY
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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