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Organization
LONG ISLAND MYOFASCIAL RELEASE
Active
Organization
LONG ISLAND MYOFASCIAL RELEASE
Active
Other names
Long Island Myofascial Release
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ALFRED SANACORE LMT (OWNER)
(516) 650-0899
Entity
Organization
Contact information
Practice address
75 PLANDOME RD STE 1, MANHASSET, NY 11030
(516) 625-3330
Mailing address
1213 WARWICK ST, UNIONDALE, NY 11553-1416
(516) 625-3330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
018076-1
NY
261QR0400X
Rehabilitation Clinic/Center
Primary
018076-1
NY
Other
Enumeration date
10/09/2008
Last updated
06/26/2018
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