Individual
OLGA TABIBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E 27TH ST APT PHG, NEW YORK, NY 10016-9114
(917) 821-4288
Mailing address
207 E 27TH ST APT PHG, NEW YORK, NY 10016-9114
(917) 821-4288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03051201
NY
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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