Individual
DANIELLE VERONIKA HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
3400 NESCONSET HWY STE 104, EAST SETAUKET, NY 11733-3327
(516) 734-6312
Mailing address
3400 NESCONSET HWY STE 104, EAST SETAUKET, NY 11733-3327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024128
NY
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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