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NPI Code Detail

MEDICARE: RACHEL DORFMAN LMT

MEDICARE:   RACHEL  DORFMAN  LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist009760NY

General Provider Information

NPI Number : 1457824856
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL DORFMAN LMT
Provider Business Mailing Address
First Line : 57 ANVIL LN
Second Line :
City : LEVITTOWN
State : NY
Zip : 11756-2742
Country : US
Telephone Number : 516-375-0440
Fax Number :
Provider Business Practice Location Address
First Line : 4155 VETERANS MEMORIAL HWY STE 5
Second Line :
City : RONKONKOMA
State : NY
Zip : 11779-6063
Country : US
Telephone Number : 631-412-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 04/27/2023

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