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Individual

CHARLES V ACUESTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3640 MAIN ST, FLUSHING, NY 11354-6521
(718) 358-2135
(718) 886-4288
Mailing address
6433 98TH ST STE LL1, REGO PARK, NY 11374-3321
(718) 544-6677
(718) 544-6688

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021689
NY

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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