Individual
THOMAS MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3341 61ST ST # 2, WOODSIDE, NY 11377-2233
(212) 203-7166
Mailing address
3341 61ST ST # 2, WOODSIDE, NY 11377-2233
(212) 203-7166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007120-1
NY
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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