Individual
MISS NICOLE BETH FUZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1075 GARDINER DR, BAY SHORE, NY 11706-6313
(631) 365-0079
Mailing address
1075 GARDINER DR, BAY SHORE, NY 11706-6313
(631) 365-0079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024023
NY
Other
Enumeration date
04/12/2011
Last updated
11/06/2015
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