Individual
AMY DISANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 NEW KARNER RD # 12205, ALBANY, NY 12205-4627
(518) 313-7005
Mailing address
251 NEW KARNER RD # 12205, ALBANY, NY 12205-4627
(518) 313-7005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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