Individual
EDWARD JOHN PACYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
40 MAIN ST, QUEENSBURY, NY 12804-4035
(518) 793-9805
Mailing address
40 MAIN ST, QUEENSBURY, NY 12804-4035
(518) 793-9805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008009
NY
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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