Individual
JAMES WILLIAM WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1930 VETERANS HWY STE 15, ISLANDIA, NY 11749-1599
(631) 214-6024
Mailing address
4 MEADOWOOD CT, HUNTINGTON, NY 11743-3829
(631) 214-6024
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017056
NY
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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