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Individual

BRUCE R WOOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
319 E 21ST ST APT 5B, NEW YORK, NY 10010-6525
(917) 941-1396
Mailing address
434 6TH AVE, 5TH FLOOR, NEW YORK, NY 10011-8411
(917) 941-1396

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006977
NY

Other

Enumeration date
01/09/2009
Last updated
01/09/2009
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