Individual
JOSHUA ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
193 N WELLWOOD AVE, LINDENHURST, NY 11757-4005
(631) 842-2424
(631) 842-2082
Mailing address
109 ELEANOR AVE, MASTIC, NY 11950-5212
(631) 336-4500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029213
NY
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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