Individual
GERMAIN PHANORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10016-4325
(917) 721-0375
Mailing address
139 CAMBRIDGE PL, BROOKLYN, NY 11238-2401
(646) 409-7199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030272
NY
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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