Individual
MELISSA SCUDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
361 BROADWAY, BETHPAGE, NY 11714-3008
(516) 974-7128
Mailing address
451 PARK AVE, HUNTINGTON, NY 11743-3752
(516) 974-7128
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025467
NY
Other
Enumeration date
01/25/2012
Last updated
10/03/2023
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