NPI 1235856519

Gina M Mazza, LMT

Practitioner Massage Therapist Northport, NY

Practice location

Address: 220 Fort Salonga Rd, Northport, NY 11768-3900
Phone: (917) 741-0687

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 018362 (NY)

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Registry record

NPI: 1235856519
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2022
Record last updated: 26 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.