Individual
ELLIOT LEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 W 105TH ST APT 4A, NEW YORK, NY 10025-4016
(914) 393-9307
Mailing address
72 W 105TH ST APT 4A, NEW YORK, NY 10025-4016
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031388-1
NY
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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