Individual
ELISA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 W 27TH ST STE 404, NEW YORK, NY 10001-6258
(917) 562-2285
Mailing address
153 W 27TH ST STE 404, NEW YORK, NY 10001-6258
(917) 562-2285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032357
NY
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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