Individual
MR. NESTOR LUIS CORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
99 JERICHO TPKE, JERICHO, NY 11753-1073
(347) 246-3246
Mailing address
99 JERICHO TPKE, JERICHO, NY 11753-1073
(347) 246-3246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013014
NY
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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