Individual
WEI DONG TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2 COMET RD, SYOSSET, NY 11791-6909
(516) 470-1826
Mailing address
2 COMET RD, SYOSSET, NY 11791-6909
(516) 470-1826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023548
NY
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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