Jodi Duffy, LMT

Individual provider Active NPI Massage Therapist · North Babylon, NY

NPI 1023599537 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1023599537
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
022105 (NY)
Practice address
64 Seley Dr
North Babylon, NY 11703-3214
Phone
(631) 838-8635
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Momms LLC Massage Therapist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 022105 NY Yes

Addresses

Primary practice location

64 Seley Dr
North Babylon, NY 11703-3214

Mailing address

64 Seley Dr
North Babylon, NY 11703-3214
Phone (631) 838-8635

Other providers in North Babylon, NY

All providers in North Babylon, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.