Individual
KENNETH WOISIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
261 LAKESHORE BLVD, MASSAPEQUA PARK, NY 11762-3026
(516) 220-1941
Mailing address
261 LAKESHORE BLVD, MASSAPEQUA PARK, NY 11762-3026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006381
NY
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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