Individual
MS. ANDREA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4818 43RD ST APT 7A, WOODSIDE, NY 11377-6857
(646) 623-4143
Mailing address
4818 43RD ST APT 7A, WOODSIDE, NY 11377-6857
(646) 623-4143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022256-1
NY
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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