Individual
MARIA B GAROUTSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2016 18TH ST, ASTORIA, NY 11105-3897
(917) 502-7884
Mailing address
2016 18TH ST, ASTORIA, NY 11105-3897
(917) 502-7884
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026277
NY
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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