Ellysha Delva

NPI 1205109873 - Massage Therapist - 225700000X

NPI Details
NPI 1205109873
Gender Female
Enumeration Date 02/13/2012
Last Updated 02/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
25 COHILL RD
VALLEY STREAM NY, 11580-5115, US
Phone (516) 526-8528
Fax
Business Location
25 COHILL RD
VALLEY STREAM NY, 11580-5115, US
Phone
Fax
Toxanomy
Taxonomy Code 225700000X
License State New York
License Number 0253121
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According to our database, Ellysha Delva NPI is 1205109873, taxonomy code is 225700000X and license number is 0253121, license state is located at New York. Ellysha Delva physically located at 25 Cohill Rd, Valley Stream NY, 11580-5115. NPI Number Ellysha Delva has the Individual type.

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1205109873 NPI number is provided on an as is basis without warranty of any kind. 1205109873 is maintained by the National Plan & Provider Enumeration System. The contents of Ellysha Delva are for informational purposes only.