Individual
DEBRA CRISTINA PADOVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4875 SUNRISE HWY STE 302, BOHEMIA, NY 11716-4630
(631) 343-4184
Mailing address
4875 SUNRISE HWY STE 302, BOHEMIA, NY 11716-4630
(631) 343-4184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004927-01
NY
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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