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Individual

MS. MARCELLA ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC, LMT

Contact information

Practice address
2 LAGRANGE AVE, SUITE 201, POUGHKEEPSIE, NY 12603-8911
(917) 232-3949
Mailing address
68 GERALD DR APT F2, POUGHKEEPSIE, NY 12601-2923
(917) 232-3949

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1418
NY
171100000X
Acupuncturist
AP2503
FL
172M00000X
Mechanotherapist
011658
NY
172M00000X
Mechanotherapist
52483
FL
225700000X
Massage Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050892600
FL
01
1497995567
BCBS
NY
01
1497995567
BCBS
05
1497995567
NY
01
89368
BCBS
FL
Enumeration date
03/02/2009
Last updated
07/17/2014
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