Individual
ADIA ATIRA, ATHURA GAINES- FARHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
54 W 14TH ST, NEW YORK, NY 10011-7501
(646) 575-0189
Mailing address
354 OCEAN AVE APT 31, BROOKLYN, NY 11226-1346
(646) 575-0189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027855-1
NY
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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