Individual
AUSTIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2130 MADISON AVE APT 11D, NEW YORK, NY 10037-2822
(929) 318-5171
Mailing address
2130 MADISON AVE APT 11D, NEW YORK, NY 10037-2822
(929) 318-5171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032574
NY
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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