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MS. MARY ELLEN PECCIA M.T. NPI 1851617542


NPI Information

NPI: 1851617542
Provider Name: MS. MARY ELLEN PECCIA, M.T.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
3915 BELL BLVD
C/O NELIDA
BAYSIDE, NY
ZIP 11361
Phone: (917) 841-6715
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MS. Mary Ellen Peccia, M.T. is a massage therapist in Bayside, NY. The provider is 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. MS. Mary Ellen Peccia, M.T. NPI is 1851617542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3915 BELL BLVD
C/O NELIDA
BAYSIDE, NY
ZIP 11361-043
Phone: (917) 841-6715

The enumeration date for this NPI number is 4/20/2010 and was last updated on 4/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist004155-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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