Individual
LISA MARIE YODICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4 SPRINGFIELD CIR, CENTRAL ISLIP, NY 11722-4629
(516) 641-6298
Mailing address
4 SPRINGFIELD CIR, CENTRAL ISLIP, NY 11722-4629
(516) 641-6298
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014851
NY
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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