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Individual

BRANDON MCGREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
170 E 88TH ST APT 1H, NEW YORK, NY 10128-2277
(917) 488-3559
Mailing address
170 E 88TH ST APT 1H, NEW YORK, NY 10128-2277
(917) 488-3559

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031018
NY

Other

Enumeration date
09/29/2021
Last updated
09/29/2021
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