Individual
DIANE BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
608 S OYSTER BAY RD, HICKSVILLE, NY 11801-3528
(516) 931-3222
Mailing address
249 BIRCHWOOD RD, CORAM, NY 11727-3629
(516) 398-5094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013483-01
NY
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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