Individual
DONNA LEE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 LAKESIDE DR, MIDDLE ISLAND, NY 11953-1724
(631) 764-5029
Mailing address
5 LAKESIDE DR, MIDDLE ISLAND, NY 11953-1724
(631) 764-5029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013669
NY
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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