Individual
PATRICIA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NYS LMT
Contact information
Practice address
53345 MAIN RD, SUITE 6-1, 6-3, SOUTHOLD, NY 11971
(631) 765-2100
(631) 765-2100
Mailing address
PO BOX 227, SOUTHOLD, NY 11971-0227
(631) 766-3586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009316
NY
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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