Individual
JASON R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5545 NETHERLAND AVE APT 4E, BRONX, NY 10471-2339
(646) 496-5526
Mailing address
5545 NETHERLAND AVE APT 4E, BRONX, NY 10471-2339
(646) 496-5526
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019171-1
NY
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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