Individual
OFER CUCS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 W 28TH ST APT 1035, NEW YORK, NY 10001-6642
(917) 526-5535
Mailing address
525 W 28TH ST APT 1035, NEW YORK, NY 10001-6642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022824
NY
Other
Enumeration date
05/24/2022
Last updated
06/03/2022
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