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Individual

ERE SAKAMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 2ND PL, BROOKLYN, NY 11231-5337
(917) 742-2104
Mailing address
PO BOX 488, NEW YORK, NY 10014-0488

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021492
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
QT91288U
NY
Enumeration date
02/20/2023
Last updated
02/20/2023
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