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Miss Nicole S Fader, LMT
Massage Therapist in Long Beach, New York
NPI 1275724924

Nicole S Fader is a Massage Therapist based in Long Beach, NY. Nicole S Fader practices in Long Beach, NY and has the professional credentials of LMT. The NPI Number for Nicole S Fader is 1275724924 and holds a License No. 015711-1 (New York).

The current practice location address for Nicole S Fader is 202 W Park Ave, Long Beach, NY and can be reached out via phone at 516-606-5473. You can also correspond with Nicole S Fader through the mailing address at 202 W PARK AVE, LONG BEACH, NY - 11561-3212 (mailing address contact number: 516-606-5473).

Location: 202 W Park Ave, Long Beach, NY, 11561-3212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275724924
Provider Name
Nicole S Fader
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
202 W Park Ave, Long Beach, NY, 11561-3212
Phone Number
516-606-5473
Fax Number
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 W Park Ave
City
Long Beach
State
New York
Zip
11561-3212
Phone Number
516-606-5473
Fax Number
person
Provider Business Mailing Address Details
Address
202 W Park Ave
City
Long Beach
State
New York
Zip
11561-3212
Phone Number
516-606-5473
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
015711-1 (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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