Organization
SKINTRIGUE MEDI SPA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RONGO PA (VICE PRESIDENT)
(631) 664-5408
Entity
Organization
Contact information
Practice address
321 DANTE CT STE 18, HOLBROOK, NY 11741-3846
(631) 664-5408
Mailing address
321 DANTE CT STE 18, HOLBROOK, NY 11741-3846
(631) 664-5408
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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