Individual
MR. ANTHONY THOMAS SIACOTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
15 N BROADWAY, WHITE PLAINS, NY 10601-2214
(914) 946-3334
Mailing address
15 N BROADWAY, WHITE PLAINS, NY 10601-2214
(914) 946-3334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006755
NY
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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