Individual
ILYA KRAVETSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1599 E 15TH ST, BROOKLYN, NY 11230-6759
(718) 676-1743
Mailing address
22 QUINCY AVE, STATEN ISLAND, NY 10305-4343
(917) 757-1965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011492
NY
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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