Individual
MS. VANESSA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4255
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012178-1
NY
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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