Individual
MUNINARINE SUEDASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
525 W 42ND ST, NEW YORK, NY 10036-6205
(212) 473-3689
Mailing address
38 ELLIOT PLACE, 4H, BRONX, NY 10452
(646) 920-3744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027727-01
NY
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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