Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 3746 | NY |
NPI | 1013117753 |
---|---|
Provider Name | Ms. Barbara J. Lentini |
First Address | Malverne, NY 11565-2209 |
Second Address | Malverne, NY 11565-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 20/07/2007 |