Individual
CRISTEL VIVIANA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
55 MAPLE AVE, ROCKVILLE CENTRE, NY 11570
(516) 705-8836
Mailing address
87-87 144 ST APT 3A, JAMAICA, QUEENS, NY 11435
(347) 520-2116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030698-01
NY
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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