MR. Edward Johnathan Dipasquale

NPI #1548806524 in Holbrook, New York

Provider Information

NPI Number
1548806524
Entity Type
Individual
Name
MR. Edward Johnathan Dipasquale
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Nov 25, 2019
Last Updated
Nov 25, 2019

Practice Location

Address
920 LINCOLN AVE STE 11&9
ZIP Code
11741-2257
Phone
(631) 256-5184

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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