Individual
SUSAN BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
328 BROADWAY, BETHPAGE, NY 11714-3007
(516) 822-5433
Mailing address
543 OAKDALE RD, EAST MEADOW, NY 11554-5228
(516) 512-1083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27021415
NY
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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