Individual
MS. LYDIA DELORES FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1343 WANTAGH AVE, WANTAGH, NY 11793-2213
(516) 679-8299
Mailing address
1343 WANTAGH AVE, WANTAGH, NY 11793-2213
(516) 679-8299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027171
NY
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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