Individual
NANCY KALI DIONISIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16 FOREST DR, EAST NORTHPORT, NY 11731-1523
(631) 649-2395
Mailing address
16 FOREST DR, EAST NORTHPORT, NY 11731-1523
(631) 649-2395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025911-1
NY
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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