| |
1 Cross Island Plz, Suite 203h, Rosedale, NY 11422-1465 | |
(866) 782-5371 | |
(866) 672-5371 |
Full Name | |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 1 Cross Island Plz, Rosedale, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043473689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 020642 (New York) | Primary |
225700000X | Massage Therapist | 0170091 (New York) | Secondary |
Mailing Address | Practice Location Address |
---|---|
1 Cross Island Plz, Suite 203h, Rosedale, NY 11422-1465 Ph: (866) 672-5371 | 1 Cross Island Plz, Suite 203h, Rosedale, NY 11422-1465 Ph: (866) 782-5371 |
Nicole Martin, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13933 253rd St, Rosedale, NY 11422 Phone: 646-377-9873 |