Individual
MAXINE DEMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1343 WANTAGH AVE, WANTAGH, NY 11793-2213
(516) 679-8299
Mailing address
1343 WANTAGH AVE, WANTAGH, NY 11793-2213
(516) 679-8299
(516) 679-5887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009296-1
NY
Other
Enumeration date
04/26/2018
Last updated
03/03/2020
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