Individual
PAWAN SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1807 RANDALL AVE, BRONX, NY 10473-3617
(718) 617-8349
Mailing address
1807 RANDALL AVE, BRONX, NY 10473-3617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024082
NY
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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