Individual
TARA MARIE COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
281 OLD ROUTE 32, SAUGERTIES, NY 12477-4227
(845) 633-3710
Mailing address
281 OLD ROUTE 32, SAUGERTIES, NY 12477-4227
(845) 633-3710
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020016
NY
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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