| NPI | 1073632105 |
|---|---|
| Former Legal Business Name | LYNBROOK MASSAGE THERAPY |
| Entity Type | Organization |
| Authorized Contact | KEVIN LEHNER Owner 516-596-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |