Individual
RENEE FUMENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 ARGYLE PL, SMITHTOWN, NY 11787-4034
(631) 566-8342
Mailing address
33 ARGYLE PL, SMITHTOWN, NY 11787-4034
(631) 566-8342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0240221
NY
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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