Individual
DR. AMY LEA YAVOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, LMT
Contact information
Practice address
6 OLD TOWN LN, HALESITE, NY 11743-2213
(516) 810-0678
Mailing address
6 OLD TOWN LN, HALESITE, NY 11743-2213
(516) 810-0678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010160
NY
225700000X
Massage Therapist
023522-1
NY
Other
Enumeration date
12/20/2006
Last updated
10/06/2020
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