Individual
SUZANNE L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 CROSBY ST, NEWARK, NY 14513-1916
(315) 945-3995
Mailing address
101 CROSBY ST, NEWARK, NY 14513-1916
(315) 945-3995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026945-1
NY
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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