Individual
YADIRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
598 BROADWAY FL 12, NEW YORK, NY 10012-3351
(212) 539-1690
Mailing address
222 E 17TH ST APT 1G, BROOKLYN, NY 11226-4646
(929) 397-7685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033873
NY
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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