# SKINTRIGUE MEDI SPA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306685995
- **Authorized official:** JOHN RONGO PA (VICE PRESIDENT)
- **Authorized official phone:** (631) 664-5408

## Contact information

- **Practice address:** 321 DANTE CT STE 18, HOLBROOK, NY 11741-3846
- **Practice address phone:** (631) 664-5408
- **Mailing address:** 321 DANTE CT STE 18, HOLBROOK, NY 11741-3846
- **Mailing address phone:** (631) 664-5408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2024
- **Last updated:** 05/22/2024