Individual
MISS TANIA L MARTELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 NASSAU RD, HUNTINGTON, NY 11743-3614
(631) 351-9898
Mailing address
120 NASSAU RD, HUNTINGTON, NY 11743-3614
(631) 351-9898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027101-01
NY
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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