Individual
MYRIA ANNEXY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W 34TH ST RM 204, NEW YORK, NY 10001-3011
(212) 600-4808
Mailing address
30 COLUMBIA PL APT A001, BROOKLYN, NY 11201-0031
(917) 428-2196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033320
NY
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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