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NPI Code Detail

MEDICARE: M & A WELLNESS CORPORATION

MEDICARE: M & A WELLNESS CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1841904778
Entity Type Code : Organization
Provider Name (Legal Business Name) : M & A WELLNESS CORPORATION
Provider Business Mailing Address
First Line : 1041 ROUTE 112
Second Line :
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-6000
Country : US
Telephone Number : 631-303-0344
Fax Number :
Provider Business Practice Location Address
First Line : 1041 ROUTE 112
Second Line :
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-6000
Country : US
Telephone Number : 631-303-0344
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANNETTE CALIENDO
Credential : LMT
Telephone Number : 631-303-0344
Provider Enumeration Date : 01/05/2023
Last Update Date : 01/05/2023

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Directions to “M & A WELLNESS CORPORATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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