Individual
MARY ALICE BURNS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
70 DIVISION AVE, LEVITTOWN, NY 11756-2941
(516) 605-4782
Mailing address
70 DIVISION AVE, LEVITTOWN, NY 11756-2941
(516) 605-4782
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030133
NY
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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