Individual
MISS LAURA EMILY NASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CAMPBELL AVE APT 2, YORKVILLE, NY 13495-1712
(315) 292-3075
Mailing address
130 CAMPBELL AVE APT 2, YORKVILLE, NY 13495-1712
(315) 292-3075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025989
NY
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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