Individual
DALE LAFATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1147 DEER PARK AVE, NORTH BABYLON, NY 11703-3103
(631) 402-4680
Mailing address
18 WILLIAM AVE, EAST ISLIP, NY 11730-2305
(631) 224-7343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012274-01
NY
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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