| Mountainside Diversified | |
|
1324 Forest Ave, Staten Island, NY 10302-2044 | |
| (877) 480-8038 | |
| Not Available |
| Full Name | Mountainside Diversified |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 1324 Forest Ave, Staten Island, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689251712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Diversified Po Box 20521, Staten Island, NY 10302-0521 Ph: (877) 480-8038 | Mountainside Diversified 1324 Forest Ave, Staten Island, NY 10302-2044 Ph: (877) 480-8038 |
Ms. Heather Miller, LMT, BCTMB Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1324 Forest Ave Ste 212, Staten Island, NY 10302 Phone: 877-480-8038 | |
Rachel Marie Carlson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1835 Richmond Rd, Staten Island, NY 10306 Phone: 718-502-5271 | |
Lan Peng, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 Ilyssa Way, Staten Island, NY 10312 Phone: 347-254-4274 | |
Nohelani Mccoy, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Morningstar Rd, Staten Island, NY 10303 Phone: 646-866-9182 | |
Evangeline Elea Dardouni, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Lerer Ln, Staten Island, NY 10307 Phone: 917-623-4822 | |
Ariella L Popick, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 New Dorp Ln Ste D, Staten Island, NY 10306 Phone: 646-389-0325 | |
Leo P Perelman, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 449 St Pauls Ave Fl 2, Staten Island, NY 10304 Phone: 718-864-2177 |