Individual
LONGGUO LIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790-3077
(917) 563-1824
Mailing address
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790-3077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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