Active NPI
Corinne Mazzarella
- Massage Therapist
- Huntington, NY
National Provider Identifier
1164091435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 024386-1
- Practice address
- 75 New St
Huntington, NY 11743-3365 - Phone
- (631) 629-2097
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 024386-1 | NY | Primary |
Addresses
Primary practice location
75 New St
Huntington, NY 11743-3365
Mailing address
75 New St
Huntington, NY 11743-3365
Phone (631) 629-2097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024386-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1164091435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 NEW ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433365",
"telephone_number": "631-629-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 NEW ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433365",
"telephone_number": "631-629-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZARELLA",
"first_name": "CORINNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "024386-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.