Individual provider · NPI-1

Denise Birnbaum

Massage Therapist · Syracuse, NY

NPI number1588066674
StatusActive
Last updated in NPPESSep 19, 2014

Details

NPI
1588066674
Entity type
Individual (NPI-1)
Name
Denise Birnbaum
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2014
Last updated
Sep 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist006067-1NYYes

Practice location

200 Corey Rd
Syracuse, NY 13219-2533

Phone 315-463-5474

Mailing address

200 Corey Rd
Syracuse, NY 13219-2533

Phone 315-463-5474

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