Individual
MR. DOMINICK LOUIS FRICANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CRM
Contact information
Practice address
178 EAST AVE, LOCKPORT, NY 14094-3811
(716) 425-8767
Mailing address
41 HARVEY AVE, LOCKPORT, NY 14094-4305
(716) 425-8767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022413-1
NY
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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