Individual
GEORGE MORALES-MATAMOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
788 SOUTHERN BLVD, BRONX, NY 10455-2125
(201) 232-1390
(718) 292-3103
Mailing address
788 SOUTHERN BLVD, BRONX, NY 10455-2125
(201) 232-1390
(718) 292-3103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023873
NY
Other
Enumeration date
08/12/2010
Last updated
11/12/2010
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