Individual
MR. RICHARD KEITH ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FF,LMT
Contact information
Practice address
64 HARRISON ST, STATEN ISLAND, NY 10304-2613
(718) 619-9781
Mailing address
64 HARRISON ST, STATEN ISLAND, NY 10304-2613
(718) 619-9781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031674
NY
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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