Healthcare Provider Details

I. General information

NPI: 1861782393
Provider Name (Legal Business Name): JUDITH ALMONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 OCEAN AVE
BROOKLYN NY
11230-2039
US

IV. Provider business mailing address

2645 9TH ST
ASTORIA NY
11102-3938
US

V. Phone/Fax

Practice location:
  • Phone: 718-951-0484
  • Fax:
Mailing address:
  • Phone: 718-951-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0246941
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: