Individual
NORA DIFABIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 HALLOCK AVE STE 3, PORT JEFFERSON STATION, NY 11776-1214
(516) 736-4691
Mailing address
18 DEER AVE, MIDDLE ISLAND, NY 11953-1509
(516) 314-1352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016237-1
NY
Other
Enumeration date
06/04/2015
Last updated
09/24/2021
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