Individual
RICKY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 W 95TH ST, NEW YORK, NY 10025-6101
(322) 207-7239
Mailing address
330 W 95TH ST, NEW YORK, NY 10025-6101
(322) 207-7239
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031650
NY
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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