Individual
NICHOLE DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 POND WAY, STATEN ISLAND, NY 10303-1650
(718) 704-3181
Mailing address
102 POND WAY, STATEN ISLAND, NY 10303-1650
(718) 704-3181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015812
NY
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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