Organization
SOUTH SHORE THERAPEUTIC MASSAGE, P.C.
Active
Organization
SOUTH SHORE THERAPEUTIC MASSAGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RYNA JOY BAUTISTA RN, LMT, NCTMB (VICE PRESIDENT)
(516) 298-6558
Entity
Organization
Contact information
Practice address
80 MERRICK RD, AMITYVILLE, NY 11701-3462
(516) 298-6558
Mailing address
80 MERRICK RD, AMITYVILLE, NY 11701-3462
(516) 298-6558
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
021653
NY
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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