Individual
SUZANNE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21 WALNUT PL, OYSTER BAY, NY 11771-1411
(516) 761-1115
Mailing address
21 WALNUT PL, OYSTER BAY, NY 11771-1411
(516) 761-1115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028763-1
NY
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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