Individual
LYUDMYLA GAYDUKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W 24TH ST APT 10C, NEW YORK, NY 10011-1567
(646) 263-3839
Mailing address
311 W 24TH ST APT 10C, NEW YORK, NY 10011-1567
(212) 204-8779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025856-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025856-01
OFFICE OF THE PROFESSIONS
NY
Enumeration date
08/02/2022
Last updated
08/02/2022
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