Lavelle, Mary
Lavelle, Mary is an individual health care provider with primary practice located at 520 Franklin Ave Ste 215 , Garden City NY 11530-5815. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lavelle, Mary can be contacted via phone (516) 987-4826.Contact Information
Primary practice address
520 Franklin Ave Ste 215
Garden City NY 11530-5815
Phone: (516) 987-4826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 019595 | New York |
Profile Details
| NPI number | 1073260014 |
|---|---|
| LBN Legal business name | Lavelle, Mary |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2022 |
| Last updated | Mar 9th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073260014 | NPPES |
| New York | Other | 019595 | NYS LICENSE MASSAGE THERAPY |
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