Individual
EDWARD ZAVULUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14743 73RD AVE APT 3H, FLUSHING, NY 11367-2946
(347) 219-1517
Mailing address
14743 73RD AVE APT 3H, FLUSHING, NY 11367-2946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020684
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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