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Individual

GINA MARIE CARUSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
320 MERRICK RD STE 3, AMITYVILLE, NY 11701-3440
(631) 691-0200
Mailing address
266 BAYLAWN AVE, COPIAGUE, NY 11726-5006
(516) 510-0390

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023836
NY

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
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