Individual
VICKY L KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 COURT ST, CENTEREACH, NY 11720-4005
(631) 987-1783
Mailing address
1 COURT ST, CENTEREACH, NY 11720-4005
(631) 987-1783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019943-1
NY
Other
Enumeration date
05/30/2020
Last updated
12/04/2023
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