Individual
NATASHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
229 VILLAGE AVE, ELMONT, NY 11003-4239
(516) 477-3748
Mailing address
229 VILLAGE AVE, ELMONT, NY 11003-4239
(516) 477-3748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027897
—
NY
Enumeration date
12/03/2019
Last updated
12/03/2019
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