Individual
GINA IUDICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7 CUMMINGS LN, HIGHLAND, NY 12528-2602
(845) 242-8077
Mailing address
7 CUMMINGS LN, HIGHLAND, NY 12528-2602
(845) 242-8077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
02946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-4289329
NO FAULT BILLING
NY
Enumeration date
08/19/2019
Last updated
08/19/2019
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