Mark Stephen Banaszak in Clarence Center - Massage Therapist
Mark Stephen Banaszak - NPI 1417127218
Mark Stephen Banaszak is a Massage Therapist in Clarence Center, New York. Mark Stephen Banaszak practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Mark Stephen Banaszak is 1417127218. The last update date is 2008-03-07.
Mark Stephen Banaszak's current location address is 6321 Balsam Fir Ct, Clarence Center, New York. You can contact this provider via phone number 7168649079. The mailing address for Mark Stephen Banaszak is 6321 Balsam Fir Ct, Clarence Center, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stephen Banaszak |
|---|---|
| Address | 6321 Balsam Fir Ct, Clarence Center, New York |
| Phone Number | 7168649079 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1417127218 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 6321 Balsam Fir Ct |
|---|---|
| City | Clarence Center |
| State | New York (NY) |
| Post Code | 140329150 |
| Phone Number | 7168649079 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 19871 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique 10-digit identifier code assigned to Mark Stephen Banaszak by the Centers for Medicare & Medicaid Services?
The Mark Stephen Banaszak has been issued the NPI (National Provider Identifier) 1417127218 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark Stephen Banaszak?
The Mark Stephen Banaszak is physically situated at 6321 Balsam Fir Ct, in the city of Clarence Center, state of NY, with the postal code 140329150.
What is Mark Stephen Banaszak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Stephen Banaszak's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417127218 to Mark Stephen Banaszak?
The Mark Stephen Banaszak received its 1417127218 assignment from the Centers for Medicare & Medicaid Services on 2008-03-07.
As of what date were the Mark Stephen Banaszak's details last updated?
The information pertaining to the Mark Stephen Banaszak, including its address, specialty, and other details, was most recently updated on 2008-03-07.