Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ilse Lorraine Penaloza

Individual provider Massage Therapist · NPI 1306457627

Ilse Lorraine Penaloza is a Massage Therapist in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

2230 42nd St Apt 3F
Astoria, NY 11105-1423
Phone: (347) 731-5683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 025199 (NY)

Record details

NPI number1306457627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2020
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

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