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Organization

YOLANDA'S MASSAGE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOLANDA GAVIGAN LMT (OWNER)
(845) 827-3637
Entity
Organization

Contact information

Practice address
24 BELLEMEADE AVE STE B, SMITHTOWN, NY 11787-1855
(845) 827-3637
Mailing address
28 HASTINGS DR, NORTHPORT, NY 11768-2509
(516) 252-8098

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
06/07/2023
Last updated
06/07/2023
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