Deborah Ann Dimarzo, LMT

Individual provider Active NPI Massage Therapist · Oakdale, NY

NPI 1760628804 · NPPES record last updated Dec 19, 2008

Key facts

NPI
1760628804
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
009175 (NY)
Practice address
5 Race PL
Oakdale, NY 11769
Phone
(631) 312-2137
Fax
(631) 750-3153
NPI assigned
Dec 19, 2008
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
009175NYMDClinical Neurophysiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 009175 NY Yes

Addresses

Primary practice location

5 Race PL
Oakdale, NY 11769

Mailing address

5 Race PL
Oakdale, NY 11769-1705
Phone (631) 312-2137

Other providers in Oakdale, NY

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

Sources for this page

Verify at the official NPI Registry.