Most Relevant Information
Provider Data
| NPI Number: | 1003479650 |
| Provider Name: | MAUREEN ANN MAGNER L.M.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 013075 |
Most Important Dates
| Enumeration Date: | 04/18/2019 |
| Last Updated: | 04/18/2019 |
Provider Practice Location
1634 VICTORIA ST
NORTH BALDWIN
NY
115101617
Practice Location Phone/Fax
| Phone: | 5167804480 |
| Fax: |
Provider Mailing Location
PO BOX 110
BALDWIN
NY
115100110
Provider Mailing Phone/Fax
| Phone: | 5167804480 |
| Fax: |