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Individual

MR. KEITH SCOTT ALLOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
465 ROUTE 25A, UNIT 1, MILLER PLACE, NY 11764
(631) 675-2910
(631) 675-2912
Mailing address
465 ROUTE 25A, UNIT 1, MILLER PLACE, NY 11764
(631) 675-2910
(631) 675-2912

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0267601
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0267601
LICENSED MASSAGE THERAPIST
NY
Enumeration date
07/24/2020
Last updated
07/24/2020
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