Individual
AYANA KAI GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1 BROADCAST PLZ STE 1, MERRICK, NY 11566-3467
(516) 218-0099
Mailing address
215 W FULTON AVE, ROOSEVELT, NY 11575-1926
(516) 578-2136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020947
NY
Other
Enumeration date
06/16/2009
Last updated
09/17/2025
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