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Mr. Edward Johnathan Dipasquale
Massage Therapist in Holbrook, New York
NPI 1548806524

Edward Johnathan Dipasquale is a Massage Therapist based in Coram, NY. Edward Johnathan Dipasquale practices in Holbrook, NY. The NPI Number for Edward Johnathan Dipasquale is 1548806524 and holds a License No. 031912-01 (New York).

The current practice location address for Edward Johnathan Dipasquale is 920 Lincoln Ave Ste 11&9, Holbrook, NY and can be reached out via phone at 631-256-5184.

Location: 920 Lincoln Ave Ste 11&9, Holbrook, NY, 11727-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548806524
Provider Name
Edward Johnathan Dipasquale
Credential
Provider Entity Type
Individual
Gender
Male
Address
920 Lincoln Ave Ste 11&9, Holbrook, NY, 11727-1439
Phone Number
631-256-5184
Fax Number
Provider Enumeration Date
11/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 Lincoln Ave Ste 11&9
City
Holbrook
State
New York
Zip
11741-2257
Phone Number
631-256-5184
Fax Number
person
Provider Business Mailing Address Details
Address
920 Lincoln Ave Ste 11&9
City
Holbrook
State
New York
Zip
11741-2257
Phone Number
631-256-5184
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
031912-01 (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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