Individual
JOSEPH DAVID ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMT
Contact information
Practice address
457 W 57TH ST, #609, NEW YORK, NY 10019-1701
(917) 843-8609
Mailing address
457 W 57TH ST, #609, NEW YORK, NY 10019-1701
(917) 843-8609
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
003329
NY
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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