Healthcare Provider Details

I. General information

NPI: 1881274413
Provider Name (Legal Business Name): BARBARA OHAYON LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 N SHORE RD
MONTAUK NY
11954-5074
US

IV. Provider business mailing address

PO BOX 1146
MONTAUK NY
11954-0898
US

V. Phone/Fax

Practice location:
  • Phone: 631-786-4908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number012088
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: