Individual
MS. MADELEINE MARIE SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12 RENWICK AVE, KINGS PARK, NY 11754-3730
(631) 663-5555
Mailing address
24 ELTON DR, EAST NORTHPORT, NY 11731-6008
(631) 327-0812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030265
NY
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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