Mountainside Diversified
Mountainside Diversified is a Massage Therapist in Staten Island, New York. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1324 Forest AveStaten Island, NY 10302-2044
Phone: (877) 480-8038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1689251712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Heather Miller — Partner/Manager · (877) 480-8038 |
| NPI enumerated | March 25, 2021 |
| Last updated in NPPES | March 25, 2021 |
| Certification date | March 25, 2021 |
| Mailing address | Po Box 20521, Staten Island, NY 10302-0521 |
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