Carolyn Calvacca, LMT
Massage Therapist in Hauppauge, NY. Individual provider (NPI-1).
NPI number1871817791
StatusActive
Last updated in NPPESSep 16, 2014
Details
- NPI
- 1871817791
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Calvacca
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2010
- Last updated
- Sep 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 27-023802 | NY | Yes |
Practice location
922 Wheeler RdHauppauge, NY 11788-2900
Phone 631-656-5551
Mailing address
611 Old Willets PathHauppauge, NY 11788-4115
Phone 631-656-5551
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