Individual provider · Type 1 NPI
Andrew P. Pannullo, LMT
Massage Therapist · New York, NY
NPI number
1962744524
Active
Practice location
195-18 42 Ave Flushing
New York, NY 11358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 026362 (NY) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1962744524
Andrew P. Pannullo, LMT's National Provider Identifier is 1962744524, issued on Mar 21, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New York, NY. The record was last updated on Mar 21, 2013.