Individual
LISA SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 2ND ST, MINEOLA, NY 11501-3060
(516) 307-9017
(516) 307-9019
Mailing address
90 2ND ST, MINEOLA, NY 11501-3060
(516) 307-9017
(516) 307-9019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2392-2
NY
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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