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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