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Diane Bianco, LMT

Massage Therapist in Hicksville, NY. Individual provider (NPI-1).

NPI number1922796366
StatusActive
Last updated in NPPESApr 25, 2023

Details

NPI
1922796366
Entity type
Individual (NPI-1)
Name
Diane Bianco
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2023
Certification date
Apr 25, 2023
Last updated
Apr 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist013483-01NYYes

Practice location

608 S Oyster Bay Rd
Hicksville, NY 11801-3528

Phone 516-931-3222

Mailing address

249 Birchwood Rd
Coram, NY 11727-3629

Phone 516-398-5094

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