Individual
HARRIS ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5411 69TH ST, MASPETH, NY 11378-1804
(917) 805-6792
Mailing address
5411 69TH ST, MASPETH, NY 11378-1804
(917) 805-6792
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009808
NY
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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