Individual
DEIRDRE MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
399 MERRICK AVE, MERRICK, NY 11566-2723
(516) 623-8116
Mailing address
399 MERRICK AVE, MERRICK, NY 11566-2723
(516) 623-8116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010722
NY
Other
Enumeration date
02/01/2015
Last updated
09/06/2018
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