Individual
DAVID NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
620 10TH ST APT 4C, BROOKLYN, NY 11215-4410
(917) 517-1053
Mailing address
620 10TH ST APT 4C, BROOKLYN, NY 11215-4410
(917) 517-1053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019119-01
NY
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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