Individual
MR. TIMOTHY DANIEL CORDARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
930 N BROADWAY STE 100, MASSAPEQUA, NY 11758-2394
(516) 778-7228
Mailing address
930 N BROADWAY STE 100, MASSAPEQUA, NY 11758-2394
(516) 778-7228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021764-1
NY
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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