Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN M CLARK, LMT, MMT
Active Sole ProprietorMassage Therapist · LONG BEACH, NY
Registration Details
- NPI Number
- 1215057708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2007 (19.070473427927 yrs)
- Last Updated
- Jul 8, 2007
- License
-
013274 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
714 E PARK AVELONG BEACH, NY, 115612605Browse NY providers · Browse ZIP 11561
- Phone
- 5164317972
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LONG BEACH, NY
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN EDWARD FRAZEE | LMT | 1699869230 |
| KELLY ANN FLYNN | LMT | 1043438682 |
| MISS NICOLE S FADER | LMT | 1275724924 |
| MS. EILEEN TROTTA | LMT | 1538328448 |
| MRS. SUSY MENDOZA | LMT | 1306274071 |
| MELANIE WAGMAN | LMT | 1851763767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.