Individual
GENADI KHANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
448 NEPTUNE AVE APT 15J, BROOKLYN, NY 11224-4428
(917) 416-7078
Mailing address
448 NEPTUNE AVE APT 15J, BROOKLYN, NY 11224-4428
(917) 416-7078
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004868
NY
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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