Individual
LORI ANN SIESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
63 E CHESTNUT ST, CENTRAL ISLIP, NY 11722-3837
(516) 458-9675
Mailing address
63 E CHESTNUT ST, CENTRAL ISLIP, NY 11722-3837
(516) 458-9675
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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