Provider Demographics
NPI:1679929376
Name:BOIS, VALERIE (LMT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:BOIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37007
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-7007
Mailing Address - Country:US
Mailing Address - Phone:516-340-9744
Mailing Address - Fax:516-929-2180
Practice Address - Street 1:710 FRANKLIN AVE STE 104
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-1118
Practice Address - Country:US
Practice Address - Phone:516-340-9744
Practice Address - Fax:516-929-2180
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-11
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27029622173C00000X
NY029622225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologist