Individual
INDIRA VANESSA CRUZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
211 E 43RD ST, NEW YORK, NY 10017-4707
(718) 669-8428
Mailing address
21737 CORBETT RD, BAYSIDE, NY 11361-2240
(718) 669-8428
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022829
NY
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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