Individual
DEANA EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, AOS, BA
Contact information
Practice address
222 ROUTE 59, SUFFERN, NY 10901-5204
(845) 642-2036
Mailing address
32 HILLSIDE AVE, SUFFERN, NY 10901-6826
(845) 642-2036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012904
NY
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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