Individual
HEIDI MICHELE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
38 LANDING AVE, SMITHTOWN, NY 11787-2711
(631) 708-3500
Mailing address
38 LANDING AVE, SMITHTOWN, NY 11787-2711
(631) 708-3500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010357
NY
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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