Individual
IRINE FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
34 HEMPSTEAD TPKE, FARMINGDALE, NY 11735-2034
(516) 755-5855
Mailing address
73 JESTER LN, LEVITTOWN, NY 11756-5236
(860) 941-7927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031475
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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