Individual
JOYCE A AZUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2199 STATEROUTE 9, LAKE GEORGE, NY 12845-6924
(516) 662-0939
Mailing address
81 SKARA BRAE RD, LAKE GEORGE, NY 12845-6924
(516) 662-0939
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
318395
NY
225700000X
Massage Therapist
Primary
016273-1
NY
Other
Enumeration date
04/19/2010
Last updated
01/14/2014
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