DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILSE LORRAINE PENALOZA

Active Sole Proprietor

ILSE LORRAINE PENALOZA is a Massage Therapist healthcare provider located in ASTORIA, New York. NPI 1306457627 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · ASTORIA, NY

Registration Details

NPI Number
1306457627
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2020 (6.04605563522 yrs)
Last Updated
Aug 11, 2020
License
025199 (NY)
Sole Proprietor
Yes

Practice Information

Address
2230 42ND ST APT 3F
ASTORIA, NY, 111051423
Browse NY providers · Browse ZIP 11105
Phone
3477315683
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in ASTORIA, NY

Name Credential NPI
ROXANNE DAUS 1639563356
ELENI ANAGNOSTAKOS 1164887386
DARA MICHELLE LAZAR LICENSED MASSAGE THE 1538689302
MISS MARIA KITSIOS LMT 1053925958
MARIA B GAROUTSOS LMT 1689289498
CHIUNG-HUI NICHOLS-NAKAJIMA 1487308276
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.