| Linda Ellen Blake, | |
|
120 Woodbine Ave, Northport, NY 11768-2897 | |
| (516) 353-8891 | |
| Not Available |
| Full Name | Linda Ellen Blake |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 120 Woodbine Ave, Northport, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750097309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 012131 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Ellen Blake, 104 Hunting Ct, Elwood, NY 11731-4835 Ph: (516) 353-8891 | Linda Ellen Blake, 120 Woodbine Ave, Northport, NY 11768-2897 Ph: (516) 353-8891 |
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Christine M Spanbauer, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Main St, Northport, NY 11768 Phone: 631-651-9623 Fax: 631-651-9421 | |
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