Individual
MS. TERESA PANTOLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1308 TOWNLINE RD, HAUPPAUGE, NY 11788-2803
(516) 356-4801
Mailing address
815 OLD MEDFORD AVE, MEDFORD, NY 11763-3548
(516) 356-4801
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
014483-1
NY
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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