Individual
MARK W GRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
41 SAXON AVE, BAY SHORE, NY 11706-7021
(631) 707-4554
Mailing address
PO BOX 328, WEST ISLIP, NY 11795-0328
(631) 707-4554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017877
NY
Other
Enumeration date
11/24/2015
Last updated
09/15/2016
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