Individual
MOSES POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
536 FAIRVIEW AVE, BALDWIN, NY 11510-3705
(516) 203-1264
(516) 867-1162
Mailing address
536 FAIRVIEW AVE, BALDWIN, NY 11510-3705
(516) 203-1264
(516) 867-1162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010045
NY
Other
Enumeration date
03/02/2007
Last updated
01/18/2022
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