Individual
MR. GUILLERMO A. LLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1850 SUNRISE HWY, BAY SHORE, NY 11706-6012
(631) 583-3300
(631) 583-3301
Mailing address
1850 SUNRISE HWY, BAY SHORE, NY 11706-6012
(631) 583-3300
(631) 583-3301
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031508
NY
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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