Individual
DIANA MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 WASHINGTON PL, PATCHOGUE, NY 11772-2731
(917) 792-1723
Mailing address
3 WASHINGTON PL, PATCHOGUE, NY 11772-2731
(917) 792-1723
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004579
NY
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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