Individual
BIANCA FERRANTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 ALHABRA RD, APT 5, MASSAPEQUA, NY 11758
(631) 294-3985
Mailing address
13 ALHABRA RD, APT 5, MASSAPEQUA, NY 11758
(631) 294-3985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
897843141
NY
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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