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Individual

MR. CHRISTOPHER MICHAEL GILBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, RPSGT

Contact information

Practice address
989 KENMORE AVE, BUFFALO, NY 14217-2924
(716) 335-9711
Mailing address
989 KENMORE AVE, BUFFALO, NY 14217-2924
(716) 335-9711

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018473
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45-5105542
NY
Enumeration date
12/15/2020
Last updated
12/15/2020
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