Individual
LINA MIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 GRAND ST, MALL SUITE 5, NEW YORK, NY 10013-3762
(347) 556-9739
(800) 882-5039
Mailing address
179 GRAND ST, MALL SUITE 5, NEW YORK, NY 10013-3762
(347) 556-9739
(800) 882-5039
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025518
NY
Other
Enumeration date
06/20/2015
Last updated
06/20/2015
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