Individual
MRS. NATALIE AMELIA SPARACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
201 N WASHINGTON ST, CARTHAGE, NY 13619-1246
(315) 286-3660
Mailing address
201 N WASHINGTON ST, CARTHAGE, NY 13619-1246
(315) 286-3660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
980637750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
980637750
DRIVER LICENSE
NY
Enumeration date
12/17/2017
Last updated
12/17/2017
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