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Individual

MR. CHRISTOPHER JAMES KWOZKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMY

Contact information

Practice address
1487 BLUE SPRUCE LN, WANTAGH, NY 11793-2528
(516) 368-4050
Mailing address
64 E HUDSON ST, LONG BEACH, NY 11561-2107
(631) 219-1923

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032139-01
NY

Other

Enumeration date
05/23/2021
Last updated
05/23/2021
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