Individual
MATTHEW FASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PINEWOOD RD APT 1A, HARTSDALE, NY 10530-1634
(914) 844-1339
Mailing address
100 PINEWOOD RD APT 1A, HARTSDALE, NY 10530-1634
(914) 844-1339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030479
NY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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