Individual
ALEXANDRA SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 PULASKI RD, KINGS PARK, NY 11754-2539
(631) 455-9347
Mailing address
10221 85TH RD, RICHMOND HILL, NY 11418-1107
(917) 225-1031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032696
NY
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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