Individual
MISS LISA MARIA SOLDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18 WEEKS ST, BLUE POINT, NY 11715-1513
(631) 419-6300
Mailing address
34 POWELL AVE, FARMINGVILLE, NY 11738-2419
(516) 965-6110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030184-01
NY
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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