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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