Individual
MR. CHARLES W GOINGS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
211 W 111TH ST APT 2, NEW YORK, NY 10026-4184
(718) 791-6202
Mailing address
211 W 111TH ST APT 2, NEW YORK, NY 10026-4184
(718) 791-6202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024627
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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