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Contact Information

AWILDA PELAEZ, LMT
700 PATCHOGUE YAPHANK RD STE 60
MEDFORD, NY11763-2239
 Phone: 516-380-1893
 Fax: 631-775-8449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for AWILDA PELAEZ · (Female)

NPI # 1295964401
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 07/09/2009
Last updated 07/09/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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