Individual
GLENISE S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
229 GREAT EAST NECK RD, WEST BABYLON, NY 11704-7801
(631) 833-0499
Mailing address
229 GREAT EAST NECK RD, WEST BABYLON, NY 11704-7801
(631) 833-0499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019026
NY
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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