Individual
ALYSSA GLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CHHC
Contact information
Practice address
10 FORT SALONGA RD STE 2A, NORTHPORT, NY 11768-1465
(631) 343-9194
Mailing address
116 INDEPENDENCE AVE, BABYLON, NY 11702-1333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025377-1
NY
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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