Individual
DAMIAN DEMOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-01 85 AVE, APT 2R, WOODHAVEN, NY 11421
(646) 642-6874
Mailing address
13237 81ST ST, OZONE PARK, NY 11417-1225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028567
NY
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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