Individual
SHANIA H DZIELAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5797 STATE ROUTE 31, SUITE 1, CICERO, NY 13039-8337
(315) 699-4533
Mailing address
5797 ROUTE 31, SUITE 1, CICERO, NY 13039
(315) 699-4533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019213-1
NY
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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