Individual
DONNA MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 PARK BLVD, MASSAPEQUA PARK, NY 11762-3042
(516) 312-2877
(516) 798-8586
Mailing address
500 PARK BLVD, MASSAPEQUA PARK, NY 11762-3042
(516) 312-2877
(516) 798-8586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014526-1
NY
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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