Individual
SUZANNE KWASNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
233 LAKE AVE, SARATOGA SPGS, NY 12866-2729
(518) 265-5473
Mailing address
PO BOX 1151, SARATOGA SPGS, NY 12866-0889
(518) 265-5473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2780
NO FAULT
NY
Enumeration date
03/10/2017
Last updated
07/24/2017
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