Individual
VINCENT RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SUNWOOD DRIVE, MILLER PLACE, NY 11764
(919) 726-4774
Mailing address
15 SUNWOOD DRIVE, MILLER PLACE, NY 11764
(919) 726-4774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019235
NY
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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