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Individual

MR. GILLES S. OBERMAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
245 5TH AVE, 2ND FLOOR, NEW YORK, NY 10016-8728
(917) 282-7420
(646) 935-2273
Mailing address
616 W 207TH ST, APT. 3K, NEW YORK, NY 10034-2606
(917) 282-7420
(646) 935-2273

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022799
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022799
EDUCATION DEPARTMENT STATE OF NEW YORK
NY
Enumeration date
09/16/2009
Last updated
09/16/2009
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