Individual
CARRIE BANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SAINT MARYS ST UPPR, LANCASTER, NY 14086-2031
(716) 545-7930
Mailing address
200 SAINT MARYS ST UPPR, LANCASTER, NY 14086-2031
(716) 545-7930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013510-1
NY
Other
Enumeration date
09/26/2012
Last updated
10/31/2017
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