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Individual

MATEUSZ BOGUSZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
376 FULTON ST, FARMINGDALE, NY 11735-3666
(516) 520-1330
(516) 520-1828
Mailing address
6346 79TH ST # 2, MIDDLE VILLAGE, NY 11379-1310
(929) 639-3014

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025646
NY

Other

Enumeration date
08/06/2025
Last updated
08/06/2025
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