Individual provider · Type 1 NPI
Dianne Carol Simonetti, LMT
Specialist · Port Jefferson Sta, NY
NPI number
1609126937
Active
Practice location
8 Cayla Lane
Port Jefferson Sta, NY 11776-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 013171-1 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1609126937
Dianne Carol Simonetti, LMT's National Provider Identifier is 1609126937, issued on Sep 13, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Sta, NY. The record was last updated on Sep 13, 2012.