Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | 024382-1 | NY |
Y | 225700000X | Massage Therapist | 18KT00006500 | NJ |
N | 225700000X | Massage Therapist | MT0000010207 | TN |
NPI | 1013314038 |
---|---|
Provider Name | Lucille Zirpoli |
First Address | Greenwood Lake, NY 10925-0451 |
Second Address | Greenwood Lake, NY 10925-0451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2014 |
Last Update Date | 20/11/2014 |