Individual
SARAH ELISE DESIDERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 DICK RD, DEPEW, NY 14043-1800
(716) 681-3333
Mailing address
75 BLOOMFIELD AVE, DEPEW, NY 14043-3755
(716) 432-8829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023384-1
NY
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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