Individual
MR. EUGENE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1795 WANTAGH AVE, WANTAGH, NY 11793-3907
(917) 952-8052
Mailing address
PO BOX 3619, WANTAGH, NY 11793-0980
(917) 952-8052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27-019977
NY
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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