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Matthew Moderno, LMT
Massage Therapist in Baldwin, New York
NPI 1104563063

Matthew Moderno is a Massage Therapist based in Merrick, NY. Matthew Moderno practices in Baldwin, NY and has the professional credentials of LMT. The NPI Number for Matthew Moderno is 1104563063 and holds a License No. 028230 (New York).

The current practice location address for Matthew Moderno is 2789 Milburn Ave, Baldwin, NY and can be reached out via phone at 516-457-7371.

Location: 2789 Milburn Ave, Baldwin, NY, 11566-0022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104563063
Provider Name
Matthew Moderno
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2789 Milburn Ave, Baldwin, NY, 11566-0022
Phone Number
516-457-7371
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2789 Milburn Ave
City
Baldwin
State
New York
Zip
11510-4119
Phone Number
516-457-7371
Fax Number
person
Provider Business Mailing Address Details
Address
2789 Milburn Ave
City
Baldwin
State
New York
Zip
11510-4119
Phone Number
516-457-7371
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
028230 (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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