Most Relevant Information
Provider Data
| NPI Number: | 1003419995 |
| Provider Name: | CRYSTAL FELICIANO |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 029294 |
Most Important Dates
| Enumeration Date: | 11/21/2020 |
| Last Updated: | 11/21/2020 |
Provider Practice Location
851 BUSHWICK AVE
BROOKLYN
NY
112213116
Practice Location Phone/Fax
| Phone: | 3473264762 |
| Fax: |
Provider Mailing Location
851 BUSHWICK AVE APT 1
BROOKLYN
NY
112213116
Provider Mailing Phone/Fax
| Phone: | 3473264762 |
| Fax: |