Individual
ANDREW JAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AOS
Contact information
Practice address
369 RUTLAND RD APT 2L, BROOKLYN, NY 11225-5577
(917) 770-0650
Mailing address
369 RUTLAND RD APT 2L, BROOKLYN, NY 11225-5577
(917) 770-0650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025717-1
NY
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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