Organization
DEMAR13 LLC
Active
Other names
Elements Therapeutic Massage
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DEMARCO (OWNER)
(631) 406-6611
Entity
Organization
Contact information
Practice address
42 E MAIN ST, SMITHTOWN, NY 11787-2804
(631) 406-6611
(631) 406-6610
Mailing address
42 E MAIN ST, SMITHTOWN, NY 11787-2804
(631) 406-6611
(631) 406-6610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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