Individual
ANDREW P PANNULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
195-18 42 AVE FLUSHING, NEW YORK, NY 11358
(646) 261-7868
Mailing address
195-18 42 AVE FLUSHING, NEW YORK, NY 11358
(646) 261-7868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026362
NY
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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