Individual
MICHAEL RYAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10 EAGLE LN, FARMINGDALE, NY 11735-5908
(631) 804-9969
Mailing address
10 EAGLE LN, FARMINGDALE, NY 11735-5908
(631) 804-9969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023408-1
NY
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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