Individual
ELLIOT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1227 ROUTE 300 STE 1, NEWBURGH, NY 12550-5007
(347) 567-6060
Mailing address
1227 ROUTE 300 STE 1, NEWBURGH, NY 12550-5007
(347) 567-6060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024083
NY
Other
Enumeration date
11/21/2011
Last updated
07/12/2023
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