Individual
PRISCILLA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
463-5 PARK AVE, STE. 104, LINDENHURST, NY 11757
(631) 557-0925
Mailing address
22 CEDAR RD, AMITYVILLE, NY 11701-1302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27-024996
NY
225700000X
Massage Therapist
Primary
27-024996
NY
Other
Enumeration date
05/13/2013
Last updated
04/19/2023
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