Individual
GENETTE BRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5858 E MOLLOY RD STE 159, SYRACUSE, NY 13211-2015
(315) 415-2945
Mailing address
5858 E MOLLOY RD STE 159, SYRACUSE, NY 13211-2015
(315) 415-2945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
026249
NY
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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