Individual
SANTOS DUARTES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
209 BROADWAY, AMITYVILLE, NY 11701-2705
(631) 691-0200
Mailing address
209 BROADWAY, AMITYVILLE, NY 11701-2705
(631) 691-0200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031203
NY
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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