Individual
MATTHEW J BROUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
925 ROUTE 6, MAHOPAC, NY 10541-1772
(845) 628-3805
(845) 628-3833
Mailing address
31 FINNEY FARM RD, CROTON ON HUDSON, NY 10520-1904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026261
MASSAGE THERAPY LICENSE
NY
Enumeration date
10/28/2024
Last updated
10/28/2024
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