Renee Gambino-Bonjolo, L.M.T
Individual provider Active NPI Massage Therapist · Red Hook, NY
NPI 1295029015 · NPPES record last updated Jun 9, 2011
Key facts
- NPI
- 1295029015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 010261 (NY)
- Practice address
- 17 Glen Pond Dr
Red Hook, NY 12571-1840 - Phone
- (845) 876-7222
- NPI assigned
- Jun 9, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 010261 | NY | Yes |
Addresses
Primary practice location
17 Glen Pond Dr
Red Hook, NY 12571-1840
Mailing address
17 Glen Pond Dr
Red Hook, NY 12571-1840
Other providers in Red Hook, NY
- Kristina Marie Forrest
- Colleen M. Foster
- Ford Francis Franklin
- Susan Frisenda
- Ellen Gaffney
- Alison Gigl George
- Carol S Guidi
- Alisa Beth Gumaer
- Shelby A Hall
- Samantha Hanback
All providers in Red Hook, 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 Jun 9, 2011. 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.