| NPI | 1326612896 |
|---|---|
| Former Legal Business Name | ATLANTIS HEALTH NETWORK, LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL VARIO Office Manager 631-744-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |