Individual
ELISE CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
80 5TH AVE, SUITE 906, NEW YORK, NY 10011-8002
(917) 769-4926
Mailing address
80 5TH AVE, SUITE 906, NEW YORK, NY 10011-8002
(917) 769-4926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012751
NY
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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