MEDICARE: MRS. DEBORAH JANE CENTOFANTI 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
1	225700000X	Massage Therapist	022307-1	NY
2	133N00000X	Nutritionist		NY

General Provider Information

NPI Number	:	1578708665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH JANE CENTOFANTI LMT

Provider Business Mailing Address
First Line	:	30 HERITAGE CT STE A
Second Line	:
City	:	LOCKPORT
State	:	NY
Zip	:	14094-3616
Country	:	US
Telephone Number	:	716-201-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 HERITAGE CT STE A
Second Line	:
City	:	LOCKPORT
State	:	NY
Zip	:	14094-3616
Country	:	US
Telephone Number	:	716-201-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2008
Last Update Date	:	06/03/2026

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Directions to “ MRS. DEBORAH JANE CENTOFANTI LMT” Practice Location

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