Individual
CHISATO TSUJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
501 WASHINGTON AVE APT SIDE, PATCHOGUE, NY 11772-1806
(347) 782-8058
Mailing address
501 WASHINGTON AVE APT SIDE, PATCHOGUE, NY 11772-1806
(347) 782-8058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026048-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026-48-01
LICENSED MASSAGE THERAPIST
NY
Enumeration date
06/07/2021
Last updated
06/07/2021
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