Individual
TAYLOR NICOLE PAGANINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 GRAND BLVD, LONG BEACH, NY 11561
(516) 398-3071
Mailing address
252 GRAND BLVD, LONG BEACH, NY 11561-2829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029646-1
NY
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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