Individual
AMI LIN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
157 N OCEAN AVE STE 1, PATCHOGUE, NY 11772-2016
(934) 200-7003
Mailing address
458 RICHMOND BLVD APT C, RONKONKOMA, NY 11779-3064
(934) 200-7003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032709-01
NY
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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