Diana Marie Basile, LMT
Individual provider Active NPI Massage Therapist · Farmingdale, NY
NPI 1104456342 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1104456342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 007004 (NY)
- Practice address
- 34 Hempstead Tpke
Farmingdale, NY 11735-2034 - Phone
- (516) 755-5855
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 007004 | NY | Yes |
Addresses
Primary practice location
34 Hempstead Tpke
Farmingdale, NY 11735-2034
Mailing address
29 Johnson CT
East Norwich, NY 11732-1301
Phone (516) 922-7336
Other providers in Farmingdale, NY
- Julia Baldinger
- Jitladda Bannon
- Danielle Barreto
- Merrie Bartlett
- Basem Hakim Podiatry PC
- Dana Bassaragh
- Joseph Bater
- Dana Battaglia
- Joscelyn Marie Bayer
- Carol G Becerra
All providers in Farmingdale, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.