Individual
LINDA CONCETTA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
80 N COUNTRY RD, PORT JEFFERSON, NY 11777-2120
(631) 675-6955
(631) 675-6956
Mailing address
31 NEPONSIT RD, SOUND BEACH, NY 11789-2631
(631) 487-1103
(631) 863-1616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019985
NY
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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