Individual
SUZAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 BELLMORE AVE, NORTH BELLMORE, NY 11710-5526
(516) 781-2152
Mailing address
1651 BELLMORE AVE, NORTH BELLMORE, NY 11710-5526
(516) 781-2152
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020573
STATE OF NEW YORK
NY
Enumeration date
10/25/2019
Last updated
10/25/2019
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