Individual
ANDREA RENE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 FULTON ST, FARMINGDALE, NY 11735-3666
(516) 520-1330
Mailing address
376 FULTON ST, FARMINGDALE, NY 11735-3666
(516) 520-1330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032775
NY
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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