Individual
CYNTHIA MARIE GRANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
175 OAK ST, PATCHOGUE, NY 11772-2933
(631) 278-0126
Mailing address
175 OAK ST, PATCHOGUE, NY 11772-2933
(631) 278-0126
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004848
NY
225700000X
Massage Therapist
020380-1
NY
Other
Enumeration date
07/30/2012
Last updated
03/25/2014
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