Organization
INNOVATIVE MASSAGE THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PARENTI LMT (PRESIDENT)
(516) 420-1927
Entity
Organization
Contact information
Practice address
814 FULTON ST, SUITE B, FARMINGDALE, NY 11735-3638
(516) 420-1927
Mailing address
814 FULTON ST, SUITE B, FARMINGDALE, NY 11735-3638
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
003419-1
NY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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