Individual
REGINALD GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 E 23RD ST, BROOKLYN, NY 11226-6109
(917) 995-5546
Mailing address
255 E 23RD ST, BROOKLYN, NY 11226-6109
(917) 995-5546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030655
NY
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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