Individual
MS. MARY LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
303 5TH AVE, SUITE 1913, NEW YORK, NY 10016-6601
(212) 683-9600
Mailing address
4335 UNION ST, APT 4K, FLUSHING, NY 11355-3047
(917) 572-3099
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012509-1
NY
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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