Individual
JOHN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5509 MERRICK RD, MASSAPEQUA, NY 11758-6215
(516) 541-8933
(516) 541-5034
Mailing address
5509 MERRICK RD, MASSAPEQUA, NY 11758-6215
(516) 541-8933
(516) 541-5034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011132
NY
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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