Individual
STEFANIE ANNE GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18 WEEKS ST, BLUE POINT, NY 11715-1513
(631) 419-6300
Mailing address
1830 AVALON PINES DR, CORAM, NY 11727-5162
(772) 579-8548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032264-01
NY
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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