Individual
MICHAEL TERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3015 33RD ST APT 3A, ASTORIA, NY 11102-1413
(917) 345-2416
Mailing address
3015 33RD ST APT 3A, ASTORIA, NY 11102-1413
(917) 345-2416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031027
NY
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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