Organization
STONY BROOK MASSAGE THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LIN (PRESIDENT)
(631) 703-1192
Entity
Organization
Contact information
Practice address
2460 NESCONSET HWY STE 11, STONY BROOK, NY 11790-3501
(631) 703-1192
Mailing address
2460 NESCONSET HWY STE 11, STONY BROOK, NY 11790-3501
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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