Individual
NICOLE M BORGESANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
855 ARCTIC ST, LINDENHURST, NY 11757-6208
(516) 850-6017
Mailing address
855 ARCTIC ST, LINDENHURST, NY 11757-6208
(516) 850-6017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008362-01
NY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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