Provider Demographics
NPI:1215341144
Name:BARCCO, MARIUXI CRISTINA (LMT)
Entity type:Individual
Prefix:MISS
First Name:MARIUXI
Middle Name:CRISTINA
Last Name:BARCCO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 1ST ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3928
Mailing Address - Country:US
Mailing Address - Phone:516-650-2195
Mailing Address - Fax:
Practice Address - Street 1:225 1ST ST APT 3E
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3928
Practice Address - Country:US
Practice Address - Phone:516-650-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018338225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist