Individual
GERALD PASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 PURCHASE ST APT G22, RYE, NY 10580-5109
(203) 613-6919
Mailing address
131 PURCHASE ST APT G22, RYE, NY 10580-5109
(203) 613-6919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012809
NY
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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