Individual
DAVID KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
120 E 56TH ST FL 12, NEW YORK, NY 10022-3641
(929) 424-1238
Mailing address
3202 34TH AVE APT 6B, ASTORIA, NY 11106-2604
(929) 294-2412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032799
NY
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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