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NPI Code Detail

MEDICARE: MAYUMI MATSUSHIRO LMT

MEDICARE: MAYUMI MATSUSHIRO LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist033149-01NY

General Provider Information

NPI Number : 1326803651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYUMI MATSUSHIRO LMT
Provider Business Mailing Address
First Line : 6140 SAUNDERS ST APT D36
Second Line :
City : REGO PARK
State : NY
Zip : 11374-1014
Country : US
Telephone Number : 929-417-9356
Fax Number :
Provider Business Practice Location Address
First Line : 525 W 42ND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10036-6205
Country : US
Telephone Number : 212-473-3689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2024
Last Update Date : 02/15/2024

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Directions to “ MAYUMI MATSUSHIRO LMT” Practice Location

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