Individual
MADELEINE LERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 COURT ST, MERRICK, NY 11566-3451
(516) 857-4870
Mailing address
15 COURT ST, MERRICK, NY 11566-3451
(516) 857-4870
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007089-1
NY
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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