Individual
ANLUVAR NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4310 52ND ST, WOODSIDE, NY 11377-4542
(718) 255-6229
Mailing address
4310 52ND ST, WOODSIDE, NY 11377-4542
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008345
NY
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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