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Organization

BAYPORT THERAPEUTIC MASSAGE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISAR CASTANEDA LMT (OWNER)
(646) 352-3792
Entity
Organization

Contact information

Practice address
730 MONTAUK HWY, BAYPORT, NY 11705-1621
(631) 419-6663
Mailing address
730 MONTAUK HWY, BAYPORT, NY 11705-1621
(631) 991-0052

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
02/07/2024
Last updated
03/13/2024
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