Individual
LAUREL ANN KASINDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
791 FORT SALONGA RD, NORTHPORT, NY 11768-3150
(631) 651-8298
Mailing address
40C PROSPECT AVE, NORTHPORT, NY 11768-3034
(631) 356-3478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030359
NY
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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