Individual
DANIELLA BIVONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
480 FOREST AV, LOWER LEVEL, REAR, LOCUST VALLEY, NY 11560-1156
(516) 759-7702
Mailing address
12 SUMMIT PL, GLEN COVE, NY 11542-2449
(917) 526-4386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024746
NY
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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