Individual
CHARLES HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 BAY ST, SAG HARBOR, NY 11963-3104
(631) 899-3216
Mailing address
16 BIRCH ST, SAG HARBOR, NY 11963-1722
(631) 820-1316
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022352
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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