Doctor Name: | KIMBERLY MARIE NUNZIATA |
NPI Number: | 1043527369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, NA |
License Number: | 27 023689 |
Business Practice Address: | 219 Laurel Rd E Northport, NY - 117311443 |
Business Phone Number: | 6319221834 |
Business Fax Number: | |
Mailing Address: | 51 Old Commack Rd, KINGS PARK |
State: | NY |
Postal Code: | 117543508 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 09/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 27 023689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |