Organization
HOLBROOK MEDICAL MASSAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIETTA COLON LMT (PRESIDENT)
(631) 983-7659
Entity
Organization
Contact information
Practice address
1480 BROADWAY AVE, HOLBROOK, NY 11741-5412
(516) 480-0507
Mailing address
58 1ST AVE, MEDFORD, NY 11763-3837
(631) 983-7659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
08/18/2023
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