Individual
MARINA DIMICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
18 HAWK LN, LEVITTOWN, NY 11756-4918
(917) 562-0152
Mailing address
18 HAWK LN, LEVITTOWN, NY 11756-4918
(917) 562-0152
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010916
NY
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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