Individual
DESIRAE MARIE CAROSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1719 CENTRAL AVE, SUITE 102, ALBANY, NY 12205-4761
(518) 452-1654
Mailing address
43 VLY RD, 1ST FLOOR, ALBANY, NY 12205-2229
(518) 320-4784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27023045
NY
Other
Enumeration date
02/05/2011
Last updated
02/05/2011
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