Individual
BROGAN WIKAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 UNION SQ W STE 912, NEW YORK, NY 10003-3255
(646) 885-1376
Mailing address
37 WALL ST APT 4P, NEW YORK, NY 10005-2017
(772) 284-1028
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030637
NY
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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