Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELAINE M FENICK, LMT
Active Sole ProprietorMassage Therapist · EAST ATLANTIC BEACH, NY
Registration Details
- NPI Number
- 1730261090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2006 (19.514320973349 yrs)
- Last Updated
- Jul 8, 2007
- License
-
014727-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
67 MOHAWK AVEEAST ATLANTIC BEACH, NY, 115611014Browse NY providers · Browse ZIP 11561
- Phone
- 5164326198
- Primary Specialty
-
Massage Therapist
225700000X
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.