Individual
YOLANDA GAVIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC, LMT
Contact information
Practice address
24 BELLEMEADE AVE STE B, SMITHTOWN, NY 11787-1855
(845) 827-3637
Mailing address
28 HASTINGS DR, FORT SALONGA, NY 11768-2509
(516) 252-8098
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
007368
NY
225700000X
Massage Therapist
Primary
030453
NY
Other
Enumeration date
02/20/2023
Last updated
07/17/2023
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