Individual
MS. DIANE LYNN ROSATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 TERRY RD, SMITHTOWN, NY 11787-3811
(631) 979-7400
Mailing address
44 DURHAMOC LN, NORTH BABYLON, NY 11703-3008
(631) 488-7812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026464
NY
Other
Enumeration date
07/11/2020
Last updated
07/13/2020
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