Individual
SURRYA MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
153 BROADWAY STE 1, HAWTHORNE, NY 10532-1147
(914) 747-9200
Mailing address
153 BROADWAY STE STE 1, HAWTHORNE, NY 10532-1142
(914) 747-9200
(914) 747-4406
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013709
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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