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Contact Information

DAVID G DEOLDEN II, L.M.T.
7868 PECK ROAD
KIRKVILLE, NY13082
 Phone: 315-400-7909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for DAVID G DEOLDEN II · (Male)

NPI # 1174206940
Status Active
Credentials L.M.T.
Entity Individual
Enumeration date 08/09/2023
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 026355
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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