Individual
MS. MAUREEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1651 BELLMORE AVE, NORTH BELLMORE, NY 11710-5526
(516) 781-1085
Mailing address
109 NEW YORK AVE, LONG BEACH, NY 11561-2876
(516) 690-4188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008264
NY
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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