Individual
PETER JOHN AREBALO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
639 COMMACK RD, COMMACK, NY 11725-5417
(631) 834-0246
Mailing address
4 GAMECOCK LN, BABYLON, NY 11702-3102
(631) 834-0246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012980-01
NY
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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