Individual
MR. MICHAEL TINO PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
495 ODELL AVE APT 4N, YONKERS, NY 10703-1141
(914) 357-6060
Mailing address
495 ODELL AVE APT 4N, YONKERS, NY 10703-1141
(914) 357-6060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032203
NY
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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