Individual
ASHLEY MARIE MALTBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 BROADWAY, MASSAPEQUA, NY 11758-5027
(516) 781-1078
Mailing address
623 BROADWAY, MASSAPEQUA, NY 11758-5027
(516) 781-1078
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007159
NY
225700000X
Massage Therapist
031568
NY
Other
Enumeration date
02/16/2022
Last updated
08/02/2022
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