Individual
MRS. BRANDY LEE NICASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10688 ALLEGHANY RD, DARIEN CENTER, NY 14040
(716) 697-0915
Mailing address
10688 ALLEGHANY RD, DARIEN CENTER, NY 14040-9743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015586-1
NY
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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