NPI 1417422213 · live from the CMS NPI Registry
Vicki Anne Agoglia, LMT
Massage Therapist in Nesconset, NY. National Provider Identifier 1417422213, active.
NPI record
| NPI | 1417422213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 300 Southern Blvd, Nesconset, NY 11767 |
| Practice phone | 631-379-5926 |
| Enumerated | October 8, 2018 |
| Last updated | October 8, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 018296-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.