Individual
MADDALENA LELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 FORREST AVE, SHIRLEY, NY 11967-1953
(631) 294-9999
Mailing address
140 FORREST AVE, SHIRLEY, NY 11967-1953
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
009399-1
NY
225700000X
Massage Therapist
Primary
022914-1
NY
Other
Enumeration date
09/21/2015
Last updated
10/09/2025
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