Marisa Chadbourne
Massage Therapist
262c Main St
East Setauket
, New York 11733-2952
Marisa Chadbourne
Massage Therapist
262c Main St
East Setauket
, New York 11733-2952
(631) 403-6013
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Marisa Chadbourne
- 262c Main St
- East Setauket, NY
- Zip : 11733-2952
- Phone : (631) 403-6013
Second Address
- Marisa Chadbourne
- 262c Main St
- East Setauket, NY
- Zip : 11733-2952
- Phone : (631) 403-6013
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FAQs
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What type of doctor is Marisa Chadbourne
In what state does Marisa Chadbourne practice in?
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Is Marisa Chadbourne a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 021161 | NY |
National Provider Identifier
| NPI | 1003213232 |
|---|---|
| Provider Name | Marisa Chadbourne |
| First Address | East Setauket, NY 11733-2952 |
| Second Address | East Setauket, NY 11733-2952 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2014 |
| Last Update Date | 25/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.