NPI 1629700877 · live from the CMS NPI Registry
Joshua Alicea, LMT
Massage Therapist in Lindenhurst, NY. National Provider Identifier 1629700877, active.
NPI record
| NPI | 1629700877 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 193 N Wellwood Ave, Lindenhurst, NY 11757 |
| Practice phone | 631-842-2424 |
| Mailing address | 109 Eleanor Ave, Mastic, NY 11950 |
| Enumerated | June 27, 2022 |
| Last updated | June 27, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 029213 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.