Doctor Name: | STEVE LAUREUS |
NPI Number: | 1053729640 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 026523 |
Business Practice Address: | 672 Wellwood Ave Lindenhurst, NY - 117571677 |
Business Phone Number: | 6312252623 |
Business Fax Number: | |
Mailing Address: | 12 Taca Blvd, DEER PARK |
State: | NY |
Postal Code: | 117293417 |
Phone Number: | 6317422504 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2014 |
NPI Last Update Date: | 07/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 026523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |