Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS NICOLE S FADER, LMT
Active Sole ProprietorMassage Therapist · LONG BEACH, NY
Registration Details
- NPI Number
- 1275724924
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2007 (18.714306149127 yrs)
- Last Updated
- Aug 7, 2007
- License
-
015711-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
202 W PARK AVESUITE 201LONG BEACH, NY, 115613212Browse NY providers · Browse ZIP 11561
- Phone
- 5166065473
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LONG BEACH, NY
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN EDWARD FRAZEE | LMT | 1699869230 |
| MS. SUSAN M CLARK | LMT, MMT | 1215057708 |
| KELLY ANN FLYNN | LMT | 1043438682 |
| MS. EILEEN TROTTA | LMT | 1538328448 |
| MRS. SUSY MENDOZA | LMT | 1306274071 |
| MELANIE WAGMAN | LMT | 1851763767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.