MEDICARE: THE EMOTION SPA

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
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1639956279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EMOTION SPA

Provider Business Mailing Address
First Line	:	89 SCRIBNER AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-2317
Country	:	US
Telephone Number	:	718-887-5192
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 SCRIBNER AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-2317
Country	:	US
Telephone Number	:	718-887-5192
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAURA ANN MARTOCCI
Credential	:	PH.D
Telephone Number	:	718-887-5192

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	09/08/2023

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Directions to “THE EMOTION SPA ” Practice Location

Language	Start Address	Practice Location

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