Individual
KATHLEEN MARY SOUSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MELVILLE PARK RD STE 200B, MELVILLE, NY 11747-3156
(631) 888-5957
Mailing address
338 OCEAN AVE, AMITYVILLE, NY 11701-3631
(864) 266-7271
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013088
NY
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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