MISS Carly Antoinette Spetrino, LMT

NPI #1629419767 in Fayetteville, New York

Provider Information

NPI Number: 1629419767
Entity Type: Individual
Name: MISS Carly Antoinette Spetrino, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jul 16, 2013
Last Updated: Jul 16, 2013

Practice Location

Address: 7211 E GENESEE ST
City: Fayetteville
State: New York
ZIP Code: 13066-1262
Phone: (315) 569-3072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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