Individual
MS. MELISSA BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
527 TOWNLINE RD STE 200, HAUPPAUGE, NY 11788-2833
(631) 838-0937
Mailing address
17 WILLOUGHBY PL, WEST ISLIP, NY 11795-4533
(631) 838-0937
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015709-01
NY
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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