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Individual

MARISOL RIVERA-PLACIDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 N MIDDLETOWN RD STE 2, PEARL RIVER, NY 10965-1295
(917) 620-2398
Mailing address
300 N MIDDLETOWN RD STE 2, PEARL RIVER, NY 10965-1295
(917) 620-2398

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030646
NY
225700000X
Massage Therapist
18KT01020300
NJ

Other

Enumeration date
01/10/2019
Last updated
05/03/2022
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