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Individual

KURUSH SALIEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2838 STILLWELL AVE APT 3A, BROOKLYN, NY 11224-2685
(347) 517-6518
Mailing address
2838 STILLWELL AVE APT 3A, BROOKLYN, NY 11224-2685
(347) 517-6518

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030671-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030671-1
LICENSE
NY
Enumeration date
09/01/2020
Last updated
09/01/2020
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