Organization
BAYPORT WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE MERRILL (MASSAGE THERAPIST)
(631) 868-3232
Entity
Organization
Contact information
Practice address
573 MIDDLE RD, BAYPORT, NY 11705-1916
(631) 868-3232
Mailing address
573 MIDDLE RD, BAYPORT, NY 11705-1916
(631) 868-3232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017324-1
NY
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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