Individual
KANDICE SIEGFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
740 VETERANS MEMORIAL HWY, HAUPPAUGE, NY 11788-2329
(631) 360-7999
Mailing address
154 MARCY ST, WEST BABYLON, NY 11704-3402
(631) 605-1119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021963
NY
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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