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General NPI Number Information
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NPI Number | 1437556669
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Entity Type | Organization
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Legal Business Name | TOUCH OF HEALTH NY MASSAGE P.C.
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 124 MAIN ST
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City | SAYVILLE
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State | NY
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Zip | 11782
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Country | US
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Telephone | 631-403-6013
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53
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City | SAYVILLE
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State | NY
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Zip | 11782-0053
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Country | US
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Telephone | 631-403-6013
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MARISA CHADBOURNE
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Credential | LMT
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Telephone | 631-403-6013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 021161
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License Number State | NY
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