Healthcare Provider Details

I. General information

NPI: 1093376147
Provider Name (Legal Business Name): ESKUE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 EAST 40 STREET STE. 1001
NEW YORK NY
10016
US

IV. Provider business mailing address

130 EAST 40 STREET STE. 1001
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 347-974-1688
  • Fax:
Mailing address:
  • Phone: 347-974-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARAH SHOU HEN ESKUE
Title or Position: PRESIDENT
Credential:
Phone: 347-974-1688