National Provider Identifier Database

LONG ISLAND MYOFASCIAL RELEASE
Rehabilitation


Contact Information

LONG ISLAND MYOFASCIAL RELEASE
75 PLANDOME RD STE 1
MANHASSET, NY11030
Phone: 516-625-3330
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X
Massage Therapist 225700000X

* Indicates primary specialty

NPI Profile & details for LONG ISLAND MYOFASCIAL RELEASE

NPI Number 1811148687
Legal business name
LBN
LONG ISLAND MYOFASCIAL RELEASE
Authorized official STEPHEN SANACORE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/09/2008
Last updated 06/26/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 018076-1

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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