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Individual

MR. MARK L THIRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
746 9TH AVE, 4RN, NEW YORK, NY 10019-6626
(917) 593-0861
(212) 243-4868
Mailing address
746 9TH AVE, 4RN, NEW YORK, NY 10019-6626
(917) 593-0861
(212) 243-4868

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020756
NY

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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