Individual
ROY V BAILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
595 ROUTE 25A, MILLER PLACE, NY 11764-2646
(631) 849-1620
(631) 849-1587
Mailing address
595 ROUTE 25A, MILLER PLACE, NY 11764-2646
(631) 849-1620
(631) 849-1587
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027913-01
NY
Other
Enumeration date
11/22/2024
Last updated
12/02/2024
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