Individual
LESLIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 GILBERT AVE, SMITHTOWN, NY 11787-5326
(631) 265-5656
Mailing address
20 GILBERT AVE, SUITE 202, SMITHTOWN, NY 11787
(631) 265-5656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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