Organization
MASSAGE BY MARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARA JENNIFER BERKOWITZ (OWNER)
(516) 697-7109
Entity
Organization
Contact information
Practice address
3728 PARK AVE, WANTAGH, NY 11793-3707
(516) 697-7109
(516) 679-2684
Mailing address
3728 PARK AVE, WANTAGH, NY 11793-3707
(516) 697-7109
(516) 679-2684
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005235
NY
225700000X
Massage Therapist
014196
NY
Other
Enumeration date
05/05/2014
Last updated
05/06/2014
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