Individual
NICHOLAS RALPH DILIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
295 S. MIDDLETOWN RD, NANUET, NY 10954
(845) 354-1064
Mailing address
295 S. MIDDLETOWN RD, NANUET, NY 10954
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033047-01
NY
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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