MATTHEW MODERNO

BALDWIN, NY
NPI1104563063
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: NY  028230)
Enumeration Date2022-05-12
Last Update Date2022-05-12
Business Address
MATTHEW MODERNO LMT
2789 MILBURN AVE
BALDWIN, NY 11510-4119
Phone number: 516-457-7371
Mailing Address
MATTHEW MODERNO LMT
PO BOX 22
MERRICK, NY 11566-0022
Phone number:
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