Individual ProviderMichael J MarescaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5496 E Taft Rd, North Syracuse, NY 13212-3784(315) 552-6700PECOS EnrollmentBased on the most recent information from CMS, provider Michael J Maresca does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013427632Provider TypeIndividualFull NameMaresca, Michael JCredentialLMTGenderMaleSole ProprietorNoEnumeration Date10/10/2017Last Updated10/10/2017Contact InformationPractice LocationPractice Address5496 E Taft Rd, North Syracuse, NY 13212-3784Phone(315) 552-6700FaxUnlisted FaxMailing LocationMailing Address5496 E Taft Rd, North Syracuse, NY 13212-3784Phone(315) 552-6700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense030252New York