Individual
STEFON J COLLYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
233A WEST POST ROAD, WHITE PLAINS, NY 10606
(914) 426-9187
Mailing address
233A WEST POST ROAD, WHITE PLAINS, NY 10606
(914) 426-9187
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028483
NY
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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