Individual
ELAINE BROILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
560 DELAWARE AVE, ALBANY, NY 12209-1415
(518) 577-5732
Mailing address
5 CHELTON AVE, TROY, NY 12180-3106
(518) 577-5732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020874
NY
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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