Individual
YASNARY CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2487 GRAND AVE APT 6A, BRONX, NY 10468-5130
(347) 430-2050
Mailing address
2487 GRAND AVE APT 6A, BRONX, NY 10468-5130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028645-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028645
OFFICE OF THE PROFESSIONS
NY
Enumeration date
05/11/2021
Last updated
05/11/2021
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