Individual
AUDREY DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 ATLANTIC AVE STE 305, LYNBROOK, NY 11563-3051
(516) 670-2057
Mailing address
12 RUSSELL ST, LYNBROOK, NY 11563-1145
(516) 670-2057
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
02/05/2024
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