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Individual

ASHLEY VICTORIA COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
1386 ROUTE 25A, EAST SETAUKET, NY 11733-2842
(631) 751-2374
Mailing address
1386 ROUTE 25A, EAST SETAUKET, NY 11733-2842
(631) 751-2374

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029743
NY

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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