Individual
DIANNE GARGUILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 MONTAUK HWY, COPIAGUE, NY 11726-4924
(631) 723-9426
Mailing address
390 WEST DR, COPIAGUE, NY 11726-5100
(631) 575-7905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NY
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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