Individual
TERESA DIFORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
40 HILLVIEW PL, STATEN ISLAND, NY 10304-2942
(718) 501-7404
Mailing address
40 HILLVIEW PL, STATEN ISLAND, NY 10304-2942
(718) 501-7404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023388-1
NY
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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