Individual
FARKHOD F USMANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 8TH AVE RM 811, NEW YORK, NY 10018-4587
(845) 809-8300
Mailing address
3250 CONEY ISLAND AVE APT 14A, BROOKLYN, NY 11235-6616
(347) 777-8662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026334
NY
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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