Corinne Mazzarella
Massage Therapist in Huntington, NY. Individual provider (NPI-1).
NPI number1164091435
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1164091435
- Entity type
- Individual (NPI-1)
- Name
- Corinne Mazzarella
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 024386-1 | NY | Yes |
Practice location
75 New StHuntington, NY 11743-3365
Phone 631-629-2097
Mailing address
75 New StHuntington, NY 11743-3365
Phone 631-629-2097
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