# LONG ISLAND MYOFASCIAL RELEASE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long Island Myofascial Release
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811148687
- **Authorized official:** STEPHEN ALFRED SANACORE LMT (OWNER)
- **Authorized official phone:** (516) 650-0899

## Contact information

- **Practice address:** 75 PLANDOME RD STE 1, MANHASSET, NY 11030
- **Practice address phone:** (516) 625-3330
- **Mailing address:** 1213 WARWICK ST, UNIONDALE, NY 11553-1416
- **Mailing address phone:** (516) 625-3330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225700000X | Massage Therapist | 018076-1 | NY | — |
| 261QR0400X | Rehabilitation Clinic/Center | 018076-1 | NY | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 06/26/2018