Petacchi, Mary Amanda

Petacchi, Mary Amanda is an sole proprietor health care provider with primary practice located at 257 Delaware Ave Ste 2 , Delmar NY 12054-1135. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Reflexologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Petacchi, Mary Amanda can be contacted via phone (845) 633-3866.

Contact Information

Primary practice address
257 Delaware Ave Ste 2 Delmar NY 12054-1135
Phone: (845) 633-3866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X 031147 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X 031147 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 031147 New York

Profile Details

NPI number 1326632779
LBN Legal business name Petacchi, Mary Amanda
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2021
Last updated Feb 25th, 2021 - about 4 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.

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