Individual
KATHERINE ELIADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
182 MAIN ST, HUNTINGTON, NY 11743-6987
(631) 673-2900
Mailing address
203 LAKELAND AVE APT 1-3A, SAYVILLE, NY 11782-1943
(631) 332-3293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032741-01
NY
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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