Individual
TARA ASSORTATO MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1 FLAX LN, LEVITTOWN, NY 11756-4607
(516) 508-1393
Mailing address
1 FLAX LN, LEVITTOWN, NY 11756-4607
(516) 508-1393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013022
NY
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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