Individual
MS. MARY ELLEN PECCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
3915 BELL BLVD, C/O NELIDA, BAYSIDE, NY 11361-2043
(917) 841-6715
Mailing address
3915 BELL BLVD, C/O NELIDA, BAYSIDE, NY 11361-2043
(917) 841-6715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004155-1
NY
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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