ELISA S PROCACCINI

PATCHOGUE, NY
NPI1437222197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  020767)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- ELISA S PROCACCINI MSPT
77 MEDFORD AVE
PATCHOGUE, NY 11772-1281
Phone number: 631-207-2370
Mailing Address
-- ELISA S PROCACCINI MSPT
55 HOPEWELL DR
STONY BROOK, NY 11790-2340
Phone number: