Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Bevilacqua III

Individual provider Massage Therapist · NPI 1184158735

Carl Bevilacqua III is a Massage Therapist in Modena, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

215D Woodcrest Dr Apt 215D
Modena, NY 12548-5107
Phone: (518) 586-6993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 029970 (NY)

Record details

NPI number1184158735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2017
Last updated in NPPESApril 19, 2017