Individual
JJ MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
185 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10016-4325
(917) 721-0375
Mailing address
185 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10016-4325
(917) 721-0375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27-029926
NY
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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