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Organization
DEIFY LASER & BEAUTY LOUNGE
Active
Organization
DEIFY LASER & BEAUTY LOUNGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ROSE CAVANAUGH (OWNER)
(646) 206-2503
Entity
Organization
Contact information
Practice address
134 W. 23RD ST., NEW YORK, NY 10011
(646) 206-2503
Mailing address
134 W. 23RD ST., NEW YORK, NY 10011
(646) 206-2503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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