Individual
MIKAELA CABRAL-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 VETERANS HWY, RONKONKOMA, NY 11779-6063
(631) 412-4800
Mailing address
14 MILDRED PL, LYNBROOK, NY 11563-4218
(516) 668-8275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225700000X
Massage Therapist
Primary
033216
NY
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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