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Individual

MS. GEORGETTE MASSARELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAT

Contact information

Practice address
115 EAST 57TH ST SUITE 520, 5TH FLOOR, DASHA WELLNESS, N.Y., NY 10022
(212) 755-5500
(212) 755-0505
Mailing address
115 EAST 57TH ST SUITE 520, 5TH FLOOR, DASHA WELLNESS, NEW YORK, NY 10022
(212) 755-5500
(212) 755-0505

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
001288
NY

Other

Enumeration date
04/05/2011
Last updated
04/05/2011
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