National Provider Identifier

Dominick Louis Fricano Jr., LMT, CRM

Dominick Louis Fricano Jr., LMT, CRM is listed in the NPPES registry with a primary specialty of Massage Therapist in Lockport, NY and a listed phone number of (716) 425-8767.

NPI 1881919678Lockport, NYMassage Therapist

Profile Overview

NPI
1881919678
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
April 05, 2010
Last Updated
April 05, 2010

Practice Location

  • 178 East Ave
  • Lockport, NY 14094-3811

Phone: (716) 425-8767

Mailing Address

  • 41 Harvey Ave
  • Lockport, NY 14094-4305

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1881919678
Entity Type
Individual
Last Name
Fricano
First Name
Dominick
Middle Name
Louis
Name Prefix
Mr.
Name Suffix
Jr.
Credential
LMT, CRM
Mailing Street Address
41 Harvey Ave
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-4305
Mailing Country
US
Mailing Phone
(716) 425-8767
Practice Street Address
178 East Ave
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-3811
Practice Country
US
Practice Phone
(716) 425-8767
Enumeration Date
April 05, 2010
Last Updated
April 05, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)