Individual
KRISTIE TAVORMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 HIGBIE LN, WEST ISLIP, NY 11795-2828
(631) 357-1870
Mailing address
1028 N PUTNAM AVE, LINDENHURST, NY 11757-2226
(631) 357-1870
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
P128026
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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