Individual provider · Type 1 NPI

Douglas W. Mandalone, LMT

Massage Therapist · New Hyde Park, NY

NPI number 1407990443 Active

Practice location

516 Lakeville Rd
New Hyde Park, NY 11040-3006

Call (516) 996-3388 Map

Mailing address

3436 Bell Blvd, Apt 2
Bayside, NY 11361-1730

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X015007 (NY)

Massage Therapist: 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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About NPI 1407990443

Douglas W. Mandalone, LMT's National Provider Identifier is 1407990443, issued on Feb 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 8, 2007.