Individual provider · Type 1 NPI

Brandy Ann Bistany

Massage Therapist · Port Jefferson, NY

NPI number 1700549276 Active

Practice location

30 Oakland Ave
Port Jefferson, NY 11777-2171

Call (516) 639-4968 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X018332 (NY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1700549276

Brandy Ann Bistany's National Provider Identifier is 1700549276, issued on Oct 20, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 20, 2021.