Individual
MR. CARLOS M CHIESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
692 FLUSHING AVE, BROOKLYN, NY 11206-5025
(917) 855-2790
Mailing address
692 FLUSHING AVE, BROOKLYN, NY 11206-5025
(917) 855-2790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021168
NY
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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