Individual
YARMILA KOCISOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
225A MAIN ST, ISLIP, NY 11751-3410
(631) 277-4776
(631) 277-4776
Mailing address
53 AVERY AVE, PATCHOGUE, NY 11772-2901
(631) 447-1094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014747
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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