Individual
MR. ISAR CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 MONTAUK HWY, BAYPORT, NY 11705-1621
(631) 419-6663
Mailing address
730 MONTAUK HWY, BAYPORT, NY 11705-1621
(631) 419-6663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
02019101
NY
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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