Individual
RONALD VAN BEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
20 ROMER STREET, PHOENICIA, NY 12464
(845) 688-2810
Mailing address
PO BOX 372, PHOENICIA, NY 12464-0372
(845) 688-2810
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027075-1
NY
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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