Provider Demographics
NPI:1689420796
Name:ROSARIO ABREU, NEFTALI (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:NEFTALI
Middle Name:
Last Name:ROSARIO ABREU
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:NEFTALI
Other - Middle Name:
Other - Last Name:IZQUIERDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASSAGE THERAPIST
Mailing Address - Street 1:3326 PALISADE AVE APT A2
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4732
Mailing Address - Country:US
Mailing Address - Phone:917-864-9604
Mailing Address - Fax:
Practice Address - Street 1:7700 RIVER ROAD
Practice Address - Street 2:THE RECOVERY ROOM
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047
Practice Address - Country:US
Practice Address - Phone:917-864-9604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT01457200225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty