Individual
ELIZABETH HALAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
108 MONTREAL AVE, STATEN ISLAND, NY 10306-2730
(917) 691-4794
Mailing address
108 MONTREAL AVE, STATEN ISLAND, NY 10306-2730
(917) 691-4794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021489
NY
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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