Nelly Bablumian, LMT

Individual provider Active NPI Massage Therapist · Rosendale, NY

NPI 1487058368 · NPPES record last updated Oct 21, 2014

Key facts

NPI
1487058368
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
028376 (NY)
Practice address
1040 Creek Locks Rd
Rosendale, NY 12472-9750
Phone
(858) 349-2611
NPI assigned
Oct 21, 2014
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

LicenseStateTypeSpecialty
028376NYMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 028376 NY Yes

Addresses

Primary practice location

1040 Creek Locks Rd
Rosendale, NY 12472-9750

Mailing address

1040 Creek Locks Rd
Rosendale, NY 12472-9750

Other providers in Rosendale, NY

All providers in Rosendale, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.