Individual
MICHELE CHRISTINE DEPRIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
262C MAIN ST, EAST SETAUKET, NY 11733-2952
(631) 403-6013
Mailing address
262C MAIN ST, EAST SETAUKET, NY 11733-2952
(631) 403-6013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008440
NY
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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