Individual
MR. ANTHONY DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
102 CANTER CT, SMITHTOWN, NY 11787-4612
(631) 220-3757
(631) 265-0552
Mailing address
102 CANTER CT, SMITHTOWN, NY 11787-4612
(631) 220-3757
(631) 265-0552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27-016101
NY
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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