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Ms. Jacqueline Dedomenico, LMT
Massage Therapist in Massapequa, New York
NPI 1043817018

Jacqueline Dedomenico is a Massage Therapist based in Massapequa, NY. Jacqueline Dedomenico practices in Massapequa, NY and has the professional credentials of LMT. The NPI Number for Jacqueline Dedomenico is 1043817018 and holds a License No. 015300-1 (New York).

The current practice location address for Jacqueline Dedomenico is 72 Parkhill Ave, Massapequa, NY and can be reached out via phone at 516-840-2383.

Location: 72 Parkhill Ave, Massapequa, NY, 11758-4553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043817018
Provider Name
Jacqueline Dedomenico
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
72 Parkhill Ave, Massapequa, NY, 11758-4553
Phone Number
516-840-2383
Fax Number
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
72 Parkhill Ave
City
Massapequa
State
New York
Zip
11758-4553
Phone Number
516-840-2383
Fax Number
person
Provider Business Mailing Address Details
Address
72 Parkhill Ave
City
Massapequa
State
New York
Zip
11758-4553
Phone Number
516-840-2383
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
015300-1 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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