Organization
WEST BABYLON THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENISE SMITH LMT (PRESIDENT)
(631) 833-0499
Entity
Organization
Contact information
Practice address
229 GREAT EAST NECK RD, WEST BABYLON, NY 11704-7801
(631) 833-0499
(631) 587-7995
Mailing address
229 GREAT EAST NECK RD, WEST BABYLON, NY 11704-7801
(631) 833-0499
(631) 587-7995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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