Individual
CAROLYN CALVACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
922 WHEELER RD, HAUPPAUGE, NY 11788-2900
(631) 656-5551
Mailing address
611 OLD WILLETS PATH, HAUPPAUGE, NY 11788-4115
(631) 656-5551
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27-023802
NY
Other
Enumeration date
03/22/2010
Last updated
09/16/2014
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