Individual
MR. CHRIS RUNKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11 PILGRIM RD, BRENTWOOD, NY 11717-1013
(631) 455-4888
Mailing address
11 PILGRIM RD, BRENTWOOD, NY 11717-1013
(631) 455-4888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020752
NY
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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