Individual
MS. SONIA DEECHYN TATNINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 JAY ST, 20F, BROOKLYN, NY 11201-1546
(917) 561-2379
Mailing address
100 JAY ST, 20F, BROOKLYN, NY 11201-1546
(917) 561-2379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0255561
NY
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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