Organization
LONG ISLAND MYOFASCIAL RELEASE
Active
Other names
Long Island Myofascial Release
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ALFRED SANACORE LMT (OWNER)
(516) 650-0899
Entity
Organization
Contact information
Practice address
75 PLANDOME RD STE 1, MANHASSET, NY 11030
(516) 625-3330
Mailing address
1213 WARWICK ST, UNIONDALE, NY 11553-1416
(516) 625-3330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
018076-1
NY
261QR0400X
Rehabilitation Clinic/Center
Primary
018076-1
NY
Other
Enumeration date
10/09/2008
Last updated
06/26/2018
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