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Individual

MR. TAYLOR SCHNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
146 E MAIN ST STE B, PORT JEFFERSON, NY 11777-1856
(631) 459-0800
Mailing address
202 MAIN ST APT 204, PORT JEFFERSON, NY 11777-1673
(631) 459-0800

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03323501
NY

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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