East End Sports Massage | |
222 Manor Pl Ste 7, Greenport, NY 11944-1261 | |
(631) 268-4769 | |
Not Available |
Full Name | East End Sports Massage |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 222 Manor Pl Ste 7, Greenport, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154099570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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East End Sports Massage 2595 Village Ln, Orient, NY 11957-1469 Ph: (718) 683-1905 | East End Sports Massage 222 Manor Pl Ste 7, Greenport, NY 11944-1261 Ph: (631) 268-4769 |
Miss Nicole Marie Kennelly, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Manor Pl, Greenport, NY 11944 Phone: 631-268-4769 | |
Patricia Dawn Liantonio, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 449 Main Street, Greenport, NY 11944 Phone: 631-407-5040 |