Denise Defazio, RN, LMT, CDT

NPI #1467917583 in Hampton Bays, New York

Provider Information

NPI Number: 1467917583
Entity Type: Individual
Name: Denise Defazio, RN, LMT, CDT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: RN, LMT, CDT
Enumeration Date: Feb 2, 2019
Last Updated: Feb 2, 2019

Practice Location

Address: 4 SPRINGVILLE RD.
City: Hampton Bays
State: New York
ZIP Code: 11946-1170
Phone: (631) 682-9908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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