Individual provider · Type 1 NPI
Daniella Bivona, MASSAGE THERAPIST
Massage Therapist · Locust Valley, NY
NPI number
1780315101
Active
Practice location
480 Forest Av, Lower Level, Rear
Locust Valley, NY 11560-1156
Mailing address
12 Summit Pl
Glen Cove, NY 11542-2449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 024746 (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.
Other massage therapist providers in Locust Valley
About NPI 1780315101
Daniella Bivona, MASSAGE THERAPIST's National Provider Identifier is 1780315101, issued on Jun 17, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Locust Valley, NY. The record was last updated on Jun 17, 2022.