Individual
MICHAEL MARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2206 31ST ST, ASTORIA, NY 11105-2714
(347) 231-6969
Mailing address
1146 WELLING CT APT 2R, ASTORIA, NY 11102-4482
(347) 231-6969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030995-01
NY
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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