Individual
MICAH DANIEL SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-3300
Mailing address
633 GRAND AVE APT 2, BROOKLYN, NY 11238-6807
(732) 513-1550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021792
NY
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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