Individual
MR. MICHAEL HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1123 BROADWAY STE 910, NEW YORK, NY 10010-2164
(917) 553-7710
Mailing address
1123 BROADWAY STE 910, NEW YORK, NY 10010-2164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007-3661
NY
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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