Organization
TICKLED PINK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ANNA BURGER-ZACCAGNINO CMF (SOLE PROPRIETOR)
(845) 778-2873
Entity
Organization
Contact information
Practice address
53 MAIN ST, WALDEN, NY 12586-1824
(845) 778-2873
Mailing address
53 MAIN ST, WALDEN, NY 12586-1824
(845) 778-2873
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
C50302
MD
Other
Enumeration date
07/08/2011
Last updated
07/14/2016
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