Individual
MICHAEL MANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11 SUMMERSET DR, WALLKILL, NY 12589-4735
(347) 860-4785
Mailing address
11 SUMMERSET DR, WALLKILL, NY 12589-4735
(347) 860-4785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031709-1
NY
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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