LONG ISLAND MYOFASCIAL RELEASE; NPI #1811148687

Contact Information

LONG ISLAND MYOFASCIAL RELEASE

75 PLANDOME RD STE 1
MANHASSET, NY 11030

Phone: 516-625-3330
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency
Massage Therapist	225700000X

Indicates primary specialty

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NPI Profile & details for LONG ISLAND MYOFASCIAL RELEASE

NPI # 1811148687

LBN Legal business name LONG ISLAND MYOFASCIAL RELEASE

Authorized official STEPHEN SANACORE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/09/2008

Last updated 06/26/2018 - About 8 years ago

Identifiers

License #

018076-1

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LONG ISLAND MYOFASCIAL RELEASE

Contact Information

Specialty

Rehabilitation

Massage Therapist

NPI Profile & details for LONG ISLAND MYOFASCIAL RELEASE

Reviews for LONG ISLAND MYOFASCIAL RELEASE