Individual
MARC SFERRAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3728 63RD ST, 3R, WOODSIDE, NY 11377
(646) 207-6901
Mailing address
3728 63RD ST, 3R, WOODSIDE, NY 11377
(646) 207-6901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017533
NY
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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