Nicole S Fader in Long Beach - Massage Therapist

Nicole S Fader - NPI 1275724924

Nicole S Fader is a Massage Therapist in Long Beach, New York. Nicole S Fader practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Nicole S Fader is 1275724924. The last update date is 2007-08-07.

Nicole S Fader's current location address is 202 W Park Ave, Long Beach, New York. You can contact this provider via phone number 5166065473. The mailing address for Nicole S Fader is 202 W Park Ave, Long Beach, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole S Fader
Address 202 W Park Ave, Long Beach, New York
Phone Number 5166065473
Fax Number
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1275724924
Provider Enumeration Date 2007-08-07
Last Updated Date 2007-08-07

Provider Mailing Address Detail

Address 202 W Park Ave
City Long Beach
State New York (NY)
Post Code 115613212
Phone Number 5166065473
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 015711-1
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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FAQs about Nicole S Fader

What is the unique 10-digit identifier code assigned to Nicole S Fader by the Centers for Medicare & Medicaid Services?

The Nicole S Fader has been issued the NPI (National Provider Identifier) 1275724924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Nicole S Fader is geographically located?

The Nicole S Fader is physically situated at the following location: 202 W Park Ave, Long Beach, NY, 115613212.

What is the area of specialization for Nicole S Fader, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Nicole S Fader is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.

When was the Nicole S Fader's 1275724924 issued?

The Nicole S Fader's 1275724924 was issued on 2007-08-07.

As of what date were the details related to Nicole S Fader most recently updated or revised?

The information pertaining to Nicole S Fader, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-07.

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