Individual
JONATHAN CRESWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
472 GRAMATAN AVE APT H3, MOUNT VERNON, NY 10552-2941
(646) 784-5005
Mailing address
472 GRAMATAN AVE APT H3, MOUNT VERNON, NY 10552-2941
(646) 784-5005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025436
NY
Other
Enumeration date
03/14/2023
Last updated
10/03/2024
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