Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK STEPHEN BANASZAK, LMT
Active Sole ProprietorMARK STEPHEN BANASZAK, LMT is a Massage Therapist healthcare provider located in CLARENCE CENTER, New York. NPI 1417127218 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CLARENCE CENTER, NY
Registration Details
- NPI Number
- 1417127218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2008 (18.294144950956 yrs)
- Last Updated
- Mar 7, 2008
- License
-
019871 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6321 BALSAM FIR CTCLARENCE CENTER, NY, 140329150Browse NY providers · Browse ZIP 14032
- Phone
- 7168649079
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in CLARENCE CENTER, NY
| Name | Credential | NPI |
|---|---|---|
| HEIDI FISCHER | LMT | 1437004256 |
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.