Individual
DANEEN COLOMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
691 MONTAUK HWY, SHIRLEY, NY 11967-2123
(631) 682-0461
Mailing address
691 MONTAUK HWY, SHIRLEY, NY 11967-2123
(631) 682-0461
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007052
NY
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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