Individual
MR. ROBERT JOSEPH WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1 ROBERTA COURT, HAMPTON BAYS, NY 11946
(631) 275-6640
Mailing address
1 ROBERTA COURT, HAMPTON BAYS, NY 11946
(631) 275-6640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030364-1
NY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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