Organization
FUEL THE SOUL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY FINE (OWNER)
(516) 379-0810
Entity
Organization
Contact information
Practice address
188 MERRICK RD, MERRICK, NY 11566-4532
(516) 379-0810
Mailing address
1934 CARROLL AVE, MERRICK, NY 11566-2625
(516) 459-4942
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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