Individual
DANIELLA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1512 WASHINGTON AVE, WEST ISLIP, NY 11795-1630
(631) 572-7220
Mailing address
1512 WASHINGTON AVE, WEST ISLIP, NY 11795-1630
(631) 572-7220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032017
NY
Other
Enumeration date
01/22/2021
Last updated
02/02/2022
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