Individual
NICOLE TZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
376 FULTON ST, FARMINGDALE, NY 11735-3666
(516) 520-1330
Mailing address
30 MEADE AVE, BETHPAGE, NY 11714-2426
(516) 456-7489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012883
NY
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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