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Individual

ORISA AYOKA BARNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 E 92ND ST, BROOKLYN, NY 11212-1530
(917) 783-0019
Mailing address
11 E 92ND ST, BROOKLYN, NY 11212-1530
(917) 783-0019

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
022660
NY
225700000X
Massage Therapist
Primary
022660-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123456789
NY
Enumeration date
12/31/2020
Last updated
12/31/2020
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