Individual
MISS GINA G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
395 LEXINGTON AVE APT 1D, BROOKLYN, NY 11216-1243
(347) 353-3090
Mailing address
395 LEXINGTON AVE APT 1D, BROOKLYN, NY 11216-1243
(347) 353-3090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029823
NY
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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