Individual
PETER AMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 DEERFIELD CIRCLE, QUOGUE, NY 11959-1606
(631) 653-5575
Mailing address
PO BOX 1606, QUOGUE, NY 11959-1606
(631) 653-5575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019834-1
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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