Miaomiao Gong
NPI #1326889775 in East Northport, New York
Provider Information
- NPI Number
- 1326889775
- Entity Type
- Individual
- Name
- Miaomiao Gong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- May 31, 2024
- Last Updated
- Sep 20, 2024
Practice Location
- Address
- 248 LARKFIELD RD STE C
- City
- East Northport
- State
- New York
- ZIP Code
- 11731-2443
- Phone
- (631) 985-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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