Renee' Amico-Taback, LMT
Individual provider Active NPI Massage Therapist · Westbury, NY
NPI 1235447608 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1235447608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0045191 (NY)
- Practice address
- 49 Mead LN
Westbury, NY 11590-6303 - Phone
- (516) 997-5172
- Fax
- (516) 997-5172
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0045191 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0045191 | NY | Yes |
Addresses
Primary practice location
49 Mead LN
Westbury, NY 11590-6303
Mailing address
49 Mead LN
Westbury, NY 11590-6303
Phone (516) 997-5172
Other providers in Westbury, NY
- Amber Court of Westbury II LLC
- Ma Sofia Ambida
- Guy D Amdur
- Michele Marie Amendolari
- Americare Certified Special Services, Inc.
- Angelina Marie Andree
- Noah Andriella
- Tricia Anganu
- Claudia Angelillo
- Joseph Dominick Aniello
All providers in Westbury, 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 Sep 20, 2010. 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.