Individual
JOSE RAPHAEL MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
11 BROADWAY STE 433, NEW YORK, NY 10004-1303
(914) 792-8109
Mailing address
11 BROADWAY STE 433, NEW YORK, NY 10004-1303
(914) 792-8109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032156
NY
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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