| 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 |
|---|---|
| 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 |