Individual
YVONNE MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6278 ROUTE 25A STE 4, WADING RIVER, NY 11792-2009
(631) 886-1500
Mailing address
148 NATURES LN, MILLER PLACE, NY 11764-3137
(917) 207-2684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014523-01
NY
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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