| NPI | 1477263721 |
|---|---|
| Former Legal Business Name | GOTHAM CITY MASSAGE THERAPY P.C. |
| Entity Type | Organization |
| Authorized Contact | DAVID ELFAWAL Owner 516-312-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |