Individual
MR. YAN KOSUBEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 WARBLER RD, MARLBORO, NJ 07746-2512
(732) 431-5816
Mailing address
19 WARBLER RD, MARLBORO, NJ 07746-2512
(732) 431-5816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00005400
NJ
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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