Individual
CAROLYN COLOMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
81 CONKLIN ST, FARMINGDALE, NY 11735-2502
(516) 752-1007
Mailing address
2971 BELTAGH AVE, WANTAGH, NY 11793-2338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027453-1
NY
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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