Individual
TRACEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18 HIGH ST, WARWICK, NY 10990-1318
(845) 545-4250
Mailing address
18 HIGH ST, WARWICK, NY 10990-1318
(845) 545-4250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019147
NY
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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