Carl Bevilacqua III

NPI #1184158735 in Modena, New York

Provider Information

NPI Number
1184158735
Entity Type
Individual
Name
Carl Bevilacqua III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Apr 19, 2017
Last Updated
Apr 19, 2017

Practice Location

Address
215D WOODCREST DR APT 215D
City
Modena
ZIP Code
12548-5107
Phone
(518) 586-6993

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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