Individual
MR. DANIAL JAMES CRCOKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
57 LIVINGSTON ST, BUFFALO, NY 14213-1652
(716) 597-2977
Mailing address
57 LIVINGSTON ST, BUFFALO, NY 14213-1652
(716) 597-2977
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022035-1
NY
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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