Individual
ANDREW HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
555 ATLANTIC ST, COPIAGUE, NY 11726-1024
(347) 254-1460
Mailing address
555 ATLANTIC ST, COPIAGUE, NY 11726-1024
(347) 254-1460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025725
NY
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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