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Individual

ROY HUNTER CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
616 POTOMAC AVE, BUFFALO, NY 14222-1214
(716) 884-4450
(716) 881-1217
Mailing address
616 POTOMAC AVE, BUFFALO, NY 14222-1214
(716) 884-4450
(716) 881-1217

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011452-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011452-1
MASSAGE THERAPY LICENSE
NY
Enumeration date
02/12/2007
Last updated
07/08/2007
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