Individual
MICHELLE CUNNIFFE FLECKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
189 MAIN RD STE F, RIVERHEAD, NY 11901-1957
(516) 982-2777
Mailing address
189 MAIN RD STE F, RIVERHEAD, NY 11901-1957
(516) 982-2777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005615-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005615-1
STATE OF NEW YORK
NY
Enumeration date
03/07/2019
Last updated
01/24/2025
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