Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL BEVILACQUA III
Active Sole ProprietorCARL BEVILACQUA III is a Massage Therapist healthcare provider located in MODENA, New York. NPI 1184158735 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MODENA, NY
Registration Details
- NPI Number
- 1184158735
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2017 (9.3192103477923 yrs)
- Last Updated
- Apr 19, 2017
- License
-
029970 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215D WOODCREST DR APT 215DMODENA, NY, 125485107Browse NY providers · Browse ZIP 12548
- Phone
- 5185866993
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.