Individual
GERILEE NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 HEMLOCK ST, STATEN ISLAND, NY 10309-4289
(718) 986-3233
Mailing address
54 HEMLOCK ST, STATEN ISLAND, NY 10309-4289
(718) 986-3233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004583-1
NY
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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