Individual
EDWARD LECCESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
77 RENEE PLACE, STATEN ISLAND, NY 10314
(347) 957-3904
Mailing address
77 RENEE PLACE, STATEN ISLAND, NY 10314
(347) 957-3904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023556
NY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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