Individual
HEATHER A TYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2364 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3502
(516) 279-8876
Mailing address
2364 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3502
(516) 279-8876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021478
NY
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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