Individual
JOSEPH MIGUEL BAQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
672 WELLWOOD AVE, LINDENHURST, NY 11757-1677
(516) 462-1625
Mailing address
11 CHICKADEE LN, LEVITTOWN, NY 11756-2125
(516) 462-1625
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030108
NY
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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