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General NPI Number Information
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NPI Number | 1538014931
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Entity Type | Organization
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Legal Business Name | MADDALENA LELLO MASSAGE THERAPY PC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 331 ROUTE 25A STE 13
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City | MOUNT SINAI
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State | NY
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Zip | 11766-2022
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Country | US
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Telephone | 631-294-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 140 FORREST AVE
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City | SHIRLEY
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State | NY
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Zip | 11967-1953
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Country | US
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Telephone | 631-294-9999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADDALENA LELLO
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Credential | LMT
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Telephone | 631-294-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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