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Individual

ANDRE ERWIN RICARDO KNIGHTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4112 41ST ST APT 4F, SUNNYSIDE, NY 11104-3255
(347) 418-5129
Mailing address
4112 41ST ST APT 4F, SUNNYSIDE, NY 11104-3255
(347) 418-5129

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032939
NY

Other

Enumeration date
12/19/2022
Last updated
12/19/2022
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