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 |