Individual
MISS MARY L BORRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1720 BURRSTONE RD, NEW HARTFORD, NY 13413-1002
(315) 264-1493
Mailing address
1720 BURRSTONE RD, NEW HARTFORD, NY 13413-1002
(315) 264-1493
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
MASSAGE THERAPY
NY
Enumeration date
08/27/2009
Last updated
08/27/2009
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