Healthcare Provider Details

I. General information

NPI: 1881823870
Provider Name (Legal Business Name): MARGARET B LA BELLA M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 JOHNSON AVE LEEWAY SCHOOL
SAYVILLE NY
11782-1143
US

IV. Provider business mailing address

335 JOHNSON AVE LEEWAY SCHOOL
SAYVILLE NY
11782-1143
US

V. Phone/Fax

Practice location:
  • Phone: 631-586-8863
  • Fax:
Mailing address:
  • Phone: 631-586-8863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number03209
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: