Organization
MASSAGE FOR OPTIMAL HEALTH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL A GREENBLATT LMT (PRESIDENT)
(631) 839-4788
Entity
Organization
Contact information
Practice address
157 N. OCEAN AVE, PATCHOGUE, NY 11772
(631) 289-3067
Mailing address
115 JACKIE CT, PATCHOGUE, NY 11772
(631) 839-4788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024734-1
NY
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
Update your record
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