Individual
SAMMY DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 W 193RD ST APT 4D, NEW YORK, NY 10040-4704
(347) 478-1583
Mailing address
670 W 193RD ST APT 4D, NEW YORK, NY 10040-4704
(347) 478-1583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033881
NY
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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