Most Relevant Information
Provider Data
| NPI Number: | 1003464587 |
| Provider Name: | VICTOR BRIAN MISYUK LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 023173 |
Most Important Dates
| Enumeration Date: | 08/28/2019 |
| Last Updated: | 08/28/2019 |
Provider Practice Location
274 COOPER ST APT 1F
BROOKLYN
NY
112376427
Practice Location Phone/Fax
| Phone: | 6468860586 |
| Fax: |
Provider Mailing Location
274 COOPER ST APT 1F
BROOKLYN
NY
112376427
Provider Mailing Phone/Fax
| Phone: | 6468860586 |
| Fax: |