Individual
CHAD NEWTON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11930 202ND ST, SAINT ALBANS, NY 11412-3816
(917) 331-5224
Mailing address
11930 202ND ST, SAINT ALBANS, NY 11412-3816
(917) 331-5224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
32361
NY
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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