Individual
MIRIAM G DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E 16TH ST STE M2A, NEW YORK, NY 10003-3789
(212) 845-9812
Mailing address
2150 BRIGHAM ST, BROOKLYN, NY 11229-5604
(347) 429-4038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
02352501
NY
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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