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NPI 1285240267 · live from the CMS NPI Registry

Cristel Viviana Acosta, Licensed Massage The

Massage Therapist in Rockville Centre, NY. National Provider Identifier 1285240267, active.

NPI record

NPI1285240267 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location55 Maple Ave, Rockville Centre, NY 11570
Practice phone516-705-8836
Mailing address87-87 144 St Apt 3a, Jamaica, Queens, NY 11435
EnumeratedSeptember 16, 2020
Last updatedSeptember 16, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X030698-01 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.