Individual
MARIAN KRAELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1028 PACIFIC ST, BALDWIN, NY 11510-4434
(516) 417-6715
Mailing address
1028 PACIFIC ST, BALDWIN, NY 11510-4434
(516) 417-6715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010196-1
NY
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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