Individual
MICHAEL MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
120 JEFFERSON ST, EAST ISLIP, NY 11730-1826
(631) 624-0391
Mailing address
120 JEFFERSON ST, EAST ISLIP, NY 11730-1826
(631) 624-0391
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032782-01
NY
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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