Individual
TIKISHA NEGRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
786 MONTAUK HWY, WEST ISLIP, NY 11795-4926
(631) 388-6946
Mailing address
254 FOREST RD W, MASTIC BEACH, NY 11951-5921
(516) 254-1835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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